Prevalence of Dorsal Wrist Impingement Syndrome with Scaphoid Instability among Gym Goers

Aqsa Javaid; Yousra Sana; Javeria Saeed; Syed Hassan Shah; Shahila Hameed; Muhammad Taha

doi:10.55735/vwrqp161

Authors

Aqsa Javaid University Institute of Physical Therapy, University of Lahore, Lahore, Pakistan
Yousra Sana Department of Physical Therapy and Rehabilitation, Ibadat International University, Islamabad, Pakistan
Javeria Saeed University Institute of Physical Therapy, University of Lahore, Sargodha, Pakistan
Syed Hassan Shah Department of Physical Therapy and Rehabilitation, Ibadat International University, Islamabad, Pakistan
Shahila Hameed Department of Physical Therapy and Rehabilitation, Ibadat International University, Islamabad, Pakistan
Muhammad Taha Ittefaq Hospital, Lahore, Pakistan

DOI:

https://doi.org/10.55735/vwrqp161

Keywords:

Dorsal wrist impingement syndrome, Gym goers, Numeric pain rating score, Scaphoid instability

Abstract

Background: Gym goers are at increased risk of developing musculoskeletal disorders due to poor posture, repetitive hand movements, extended workout duration, and inadequate ergonomics. The dorsal wrist impingement syndrome is associated with wrist hyperextension and scaphoid bone instability. Objective: To investigate the prevalence of dorsal wrist impingement syndrome with scaphoid instability among gym goers. Methodology: This observational study was conducted over six months following synopsis approval from the University of Lahore, targeting gym goers in Sargodha city, with 147 participants recruited using a non-probability purposive sampling technique. Participants aged 16 to 45 years, both genders, experiencing wrist pain or difficulty in wrist hyperextension were included, while those with wrist fractures, dislocations, neurological problems, recent trauma, or deformities were excluded. Data collection involved standardized diagnostic tools, including the scaphoid shift test to assess scaphoid instability, the finger extension test to confirm dorsal wrist impingement syndrome, the numerical pain rating scale to measure pain intensity, and the patient-rated wrist evaluation questionnaire to evaluate wrist function and disability. Spearman’s rank correlation test was applied to examine relationships between variables, and results were expressed using percentages and frequencies for quantitative variables. Results: Out of 147 participants, 75 male participants had more right-handed wrist pain than 72 female participants. The age range of participants was between 16 and 45 years, and the highest frequency was between the ages of 31 and 35 years. 94 participants had positive results for the scaphoid shift test, while 53 participants had negative results. In the ratio of the finger extension test, 111 participants had positive results, and 36 participants had negative results. Conclusion: This study concludes that dorsal wrist impingement syndrome with scaphoid instability is indeed prevalent among gymgoers. This condition is closely linked to wrist hyperextension during heavy lifting, making it a prominent risk factor. Additionally, the research suggests that right-handed individuals are more prone to experiencing wrist pain in comparison to their left hand.

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References

1. Ton Y, Powell JE, Chowdhary K. Evaluation and Management of Dorsal Wrist Impingement Syndrome (DWIS). Current Physical Medicine and Rehabilitation Reports 2025; 13(1): 23.

https://doi.org/10.1007/s40141-025-00493-7 DOI: https://doi.org/10.1007/s40141-025-00493-7

2. Fernández-Gil MA, Báez AB, Horcajadas AB, Calatayud J, Alcalá-Galiano A, Kassarjian A. Imaging of Common Injuries in Gymnastics. Seminars in Musculoskeletal Radiology 2025; 28(4): 530-47.

https://doi.org/10.1055/s-0045-1809164 DOI: https://doi.org/10.1055/s-0045-1809164

3. Ferreira RM, Fernandes LG, Minghelli B, Feito Y, Sampaio AR, Pimenta N. Sport-Related Injuries in Portuguese CrossFit® Practitioners and Their Characteristics. Muscles 2025; 4(1): 2.

https://doi.org/10.3390/muscles4010002 DOI: https://doi.org/10.3390/muscles4010002

4. Ankar P, Harjpal P. Comparative Analysis of Various Rotator Cuff Stretching Techniques: Efficacy and Recommendations for Gym Enthusiasts. Cureus 2024; 16(1): e51785.

https://doi.org/10.7759/cureus.51785 DOI: https://doi.org/10.7759/cureus.51785

5. Sekiguchi T, Saito S, Ogura T, Tsuchiya A, Shiratsuchi H. Abnormal Wrist Sagittal Kinematics in Gymnasts With Dorsal Wrist Pain: A New Syndrome. The American Journal of Sports Medicine 2024; 52(1): 232–41.

https://doi.org/10.1177/03635465231204361 DOI: https://doi.org/10.1177/03635465231204361

6. Kamaleldin MM, Abotaleb AF. Dorsal wrist impingement syndrome, arthroscopic findings and results of arthroscopic treatment: short term results. The Egyptian Orthopaedic Journal 2024; 59(4): 458–62.

https://doi.org/10.4103/eoj.eoj_95_24 DOI: https://doi.org/10.4103/eoj.eoj_95_24

7. Xiao L, Su C, Chen J, et al. Soyasaponin Bb has poor absorption and bioavailability in Sprague–Dawley rats and Caco-2 intestinal epithelial cell model. Food, Nutrition and Health 2025; 2(1): 4.

https://doi.org/10.1007/s44403-025-00014-3 DOI: https://doi.org/10.1007/s44403-025-00014-3

8. Mahmoud A, Gamil AM. Gymnast’s Wrist. Eurorad 2023; Case 18171

https://doi.org/10.35100/eurorad/case.18171

9. Agarwal A, Murray TE, Cresswell M, Chandra A. Dorsal wrist carpal boss Impingement—Dynamic ultrasound to the rescue! Indian Journal of Radiology and Imaging 2024; 34(1): 150–3.

https://doi.org/10.1055/s-0043-1772691 DOI: https://doi.org/10.1055/s-0043-1772691

10. Sahni S, Fares JE, Jumreornvong O, Parson JP, Zakhary M. Dorsal Wrist Impingement Syndrome Pain After Ganglion Cyst Removal. Journal of Surgical Care 2024; 3(1): 1-3. DOI: https://doi.org/10.33140/JSC.03.01.06

https://doi.org/10.20944/preprints202312.0804.v1 DOI: https://doi.org/10.20944/preprints202312.0804.v1

11. Benjamin HJ, Engel SC, Chudzik D. Wrist pain in gymnasts: A review of common overuse wrist pathology in the gymnastics athlete. Current Sports Medicine Reports 2017; 16(5): 322-329. https://doi.org/10.1249/jsr.0000000000000398. DOI: https://doi.org/10.1249/JSR.0000000000000398

12. Resnik CS. Wrist and hand injuries. Seminars in Musculoskeletal Radiology 2000; 4(2): 193–204. https://doi.org/10.1055/s-2000-13012 DOI: https://doi.org/10.1055/s-2000-13012

13. Hanson ZC, Lourie GM. Middorsal wrist pain in the high-level athlete: causes, treatment, and early return to play. Orthopaedic Journal of Sports Medicine 2022; 10(4): 23259671221088610.

https://doi.org/10.1177/23259671221088610 DOI: https://doi.org/10.1177/23259671221088610

14. Savage TN, Saxby DJ, Pizzolato C, et al. Trunk, pelvis and lower limb walking biomechanics are similarly altered in those with femoroacetabular impingement syndrome regardless of cam morphology size. Gait & Posture 2021; 83: 26–34.

https://doi.org/10.1016/j.gaitpost.2020.10.002 DOI: https://doi.org/10.1016/j.gaitpost.2020.10.002

15. Goller SS, Kajdi GW, Feuerriegel GC, Sutter R. Radiopalmar ganglion cysts: prevalence, morphology, and clinical significance in wrist MRI. European Radiology 2024; 34(12): 7869–77.

https://doi.org/10.1007/s00330-024-10884-4 DOI: https://doi.org/10.1007/s00330-024-10884-4

16. Camus E, Van Overstraeten L, Schuind F. Lunate biomechanics: application to Kienböck’s disease and its treatment. Hand Surgery and Rehabilitation 2021; 40(2): 117–25.

https://doi.org/10.1016/j.hansur.2020.10.017 DOI: https://doi.org/10.1016/j.hansur.2020.10.017

17. Tesoriero P, Becker J, Passano B, et al. Does Midcarpal Joint Structure Affect Development of Arthritis in the Wrist. Journal of Wrist Surgery 2022; 12(1): 28–31.

https://doi.org/10.1055/s-0042-1749163. DOI: https://doi.org/10.1055/s-0042-1749163

18. Amro A, Diener I, H Isra’ M, et al. The effects of mulligan mobilization with movement and taping techniques on pain, grip strength, and function in patients with lateral epicondylitis. Hong Kong Physiotherapy 2010; 28(1): 19-23.

https://doi.org/10.1016/j.hkpj.2010.11.004 DOI: https://doi.org/10.1016/j.hkpj.2010.11.004

19. Bain GI, Kuberakani K, Luchetti R, Atzei A. Arthroscopic Arthrolysis of the wrist. Arthroscopy and Endoscopy of the Elbow, Wrist and Hand: Surgical Anatomy and Techniques: Springer; 2022.

https://doi.org/10.1007/978-3-030-79423-1_104 DOI: https://doi.org/10.1007/978-3-030-79423-1_104

20. Ji W, Wang Y, Ni C, Huang X, He W. Association of handgrip strength asymmetry and weakness with successful aging among older adults in China. bioRxiv 2025; 7: 16.665060.

https://doi.org/10.1101/2025.07.16.665060 DOI: https://doi.org/10.1101/2025.07.16.665060

21. Chin AY, Ying CQ. Complications of Wrist Stiffness and Their Treatment. Stiffness of the Elbow, Wrist and Related Pathologies: Springer; 2025: 369–77.

https://doi.org/10.1007/978-3-031-81381-8_30. DOI: https://doi.org/10.1007/978-3-031-81381-8_30

22. Jerome JTJ. Ultrasound as a diagnostic modality in hand and wrist musculoskeletal pathologies: A narrative review. Indian Journal of Orthopaedics 2024; 59(1): 19–33.

https://doi.org/10.1007/s43465-024-01206-3 DOI: https://doi.org/10.1007/s43465-024-01206-3

23. Logli AL, Strother CC, Kakar S, Rizzo M. Long-Term Results of Darrach Resection in Patients 40 Years and Younger. Journal of Wrist Surgery 2025.

https://doi.org/10.1055/a-2588-0261 DOI: https://doi.org/10.1055/a-2588-0261