Publications by authors named "L S Kox"

Article Synopsis
  • The study investigates MRI characteristics of the distal radial physis in healthy young gymnasts and compares them to symptomatic and asymptomatic counterparts to understand stress-related injuries.
  • A total of 66 participants, including symptomatic gymnasts, asymptomatic gymnasts, and non-gymnasts, underwent MRI scans, revealing distinct differences in physeal thickness.
  • Symptomatic gymnasts showed significant physeal widening, particularly on the volar side, suggesting stress from gymnastics contributes to increased physeal thickness, which may assist in early injury detection.
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Article Synopsis
  • This study evaluates a specialized MRI technique's effectiveness in identifying early stress injuries in adolescent gymnasts.
  • It involved 24 gymnasts with suspected injuries, 18 healthy gymnasts, and 24 non-gymnast controls, comparing their wrist MRI scans for differences in water signal fraction in specific regions.
  • The findings indicate that symptomatic gymnasts show significantly higher water signal fractions in affected areas compared to their non-injured counterparts, suggesting that this method could reliably detect early signs of injury.
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Objectives: Ulnar variance is a clinical measure used to determine the relative difference in length between the radius and ulna. We aimed to examine consistency in ulnar variance measurements and normative data in children and adolescents using the perpendicular and the Hafner methods.

Methods: Two raters measured ulnar variance on hand radiographs of 350 healthy children.

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Objective: To explore the use of quantitative volume assessment to identify the presence and extent of stress-related changes of the distal radial physis in gymnasts with suspected physeal injury, asymptomatic gymnasts, and non-gymnasts.

Methods: Symptomatic gymnasts with clinically suspected distal radial physeal injury, asymptomatic gymnasts, and non-gymnasts (n = 69) were included and matched on skeletal age and sex. Volume measurements were performed on coronal water selective cartilage MRI images by creating three-dimensional physeal reconstructions semi-automatically using active-contour segmentation based on image-intensity thresholding.

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Background: Although overuse wrist injuries can have serious consequences, young athletes often do not immediately report their injury to a physician. This qualitative study aimed to identify symptoms and limitations related to overuse wrist injuries that young athletes consider important and to compare those with sports physicians' opinions, in order to improve the diagnostic process for early identification of overuse wrist injuries.

Methods: Twenty-one athletes aged 13-25 years in wrist-loading sports (gymnastics, tennis, judo, field hockey, volleyball and rowing) with a (previous) overuse wrist injury were included.

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