Bilateral Fractures of the Middle Phalanx of the Middle Finger in an                     Adolescent Climber

Chell, J.; Stevens, Kathryn J.; Preston, Brian; Davis, T. R. C.

doi:10.1177/03635465990270062301

Cited by 29 publications

(17 citation statements)

References 5 publications

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“…28 Very few data are available for young climbers, but sport-induced osseous stress reactions are a well-known fact in children and adolescents. 1,19,23 Nontraumatic epiphyseal fractures were first observed at the end of the 1990s 4,12,13 and are more common nowadays. 11 As a reaction to these injuries, which correlate to certain high-intensive training methods (eg, Campusboard), 11 the Medical Commission of the UIAA has already issued a recommendation to abandon highly intensive "boulder" competitions on an international level for athletes under the age of 16.…”

Section: Discussionmentioning

confidence: 99%

Radiographic Adaptations to the Stress of High-Level Rock Climbing in Junior Athletes

Schöffl

Hochholzer²,

Imhoff³

et al. 2007

Am J Sports Med

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Section: Discussionmentioning

confidence: 99%

Radiographic Adaptations to the Stress of High-Level Rock Climbing in Junior Athletes

Schöffl

Hochholzer²,

Imhoff³

et al. 2007

Am J Sports Med

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“…8 32 Holchholzer and Schöffl (2005) found 24 non-traumatic cases of epiphyseal plate fractures in youth climbers, four of which were found to have epiphysiolysis (separation of the epiphysis from the rest of the bone), suggesting that epiphyseal fractures of the middle phalanx of the finger may be an injury likely to occur instead of pulley injuries in the younger age groups. 7 The only other study examining epiphyseal plate fracture injury in a young climber was a case-report conducted by Chell et al (1999…”

Section: Injury Typesmentioning

confidence: 99%

“…[7][8][9][10] The studies that exist are either case reports, or are focused on one single type of injury, such as epiphyseal fractures and finger injuries. [7][8][9][10][11] Large epidemiological survey studies have included youth in their cross-sectional samples, but there is an obvious lack of information regarding injuries and incidence specific to youth and how they might differ from adults. 5 12 13 Nevertheless, knowledge gained from research involving adult climbers may be relevant for youth and can help inform studies examining young climbers.…”

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confidence: 99%

Injury Rates, Mechanisms, and Risk Factors for Injury in Youth Rock Climbers

et al. 2014

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Objective: To examine the incidence, mechanisms, and risk factors for injury in 11-to 19-year-old recreational and elite sport climbers and boulderers. Methods: Cross-sectional study design. Participants were recruited from climbing facilities across Alberta, Canada, and 116 youths completed an anonymous questionnaire. Primary Outcome Measure: Climbing injury Results: The incidence rate of climbing injury was 4.44 injuries/1000 climbing hours (95% CI; 3.74, 5.23). Sprains and strains were the predominant injury type, and the primary mechanism of injury was repetitive overuse. Hands and fingers were the most commonly injured locations. Older age (15-19-year-olds), injury in a sport other than climbing, and preventive taping were shown to be risk factors for injury. Conclusions: Climbing injury incidence rates are high in youth climbers. Findings are consistent with reported rates and details surrounding injury in adults. Modifiable potential risk factors warrant further investigation in order to inform development of future injury prevention strategies.

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“…Epiphyseal stress fractures of the finger phalanges have become the most common injury among adolescent sport climbers [1][2][3][4][5]. This climbing-specific injury was first described by Hochholzer et al in 1997 [3] and later by Chell et al in 1999 [4].…”

Section: Introductionmentioning

confidence: 99%

Symptomatic epiphyseal sprains and stress fractures of the finger phalanges in adolescent sport climbers

Bärtschi

Scheibler

Schweizer

2019

Hand Surgery and Rehabilitation

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The purpose of this study was to document and evaluate patient characteristics, injury mechanisms and clinical outcomes of epiphyseal stress fractures of the finger phalanges in adolescent rock climbers to identify contributing factors to this injury. Twenty-eight climbers with epiphyseal pain treated at our clinic between 2006 and 2018 were included in the study. Sixteen patients completed a questionnaire addressing injury details as well as training regimen before and after the injury. The mean age at the time of injury was 13.7 years (± 1.9 years) with the injury occurring predominantly in male athletes. Middle (58%) and ring (30%) fingers were the most commonly affected sites out of a total of 67 fingers affected; 54% had a radiologically documented epiphyseal fracture (Salter Harris type II/III) while 46% suffered from a symptomatic sprain, which could potentially lead to a stress fracture. Mean time for radiological union of a fracture was 35 weeks. Recovery time for a symptomatic sprain was on average slightly shorter at 24 weeks. All patients were treated conservatively with load reduction for 3-12 months until the symptoms disappeared. Although most patients had a positive outcome when treated correctly, this injury can damage the growth plate when left untreated, resulting in articular surface incongruency (1 severe, 1 moderate, 6 mild) with permanent impairment of the affected finger. Therefore, pain on the dorsal aspect of the proximal interphalangeal joint in adolescent climbers must be assessed carefully.

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Bilateral Fractures of the Middle Phalanx of the Middle Finger in an Adolescent Climber

Cited by 29 publications

References 5 publications

Radiographic Adaptations to the Stress of High-Level Rock Climbing in Junior Athletes

Radiographic Adaptations to the Stress of High-Level Rock Climbing in Junior Athletes

Injury Rates, Mechanisms, and Risk Factors for Injury in Youth Rock Climbers

Symptomatic epiphyseal sprains and stress fractures of the finger phalanges in adolescent sport climbers

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