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Dorsal Impaction Syndrome

Dorsal impaction is a chronic pain syndrome caused by repetitive axial loading of the wrist in dorsiflexion. This injury is common in young gymnasts.


– Pain is felt on the back of the wrist.
– The pain is increased with dorsiflexion and loading of the wrist.


Treatment should include:
– modification of training programs;
– wrist strengthening exercises;
– the use of wrist guards or a brace to prevent excessive dorsiflexion;
– for more severe pain, complete rest and immobilization.

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