Epiphyseal Fractures of the Finger Middle Joints in Young Sport Climbers

Hochholzer, Thomas; Schöffl, Volker

doi:10.1580/pr15-04.1

Cited by 82 publications

(81 citation statements)

References 5 publications

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“…Pain and/or tenderness is reported on the dorsal aspect of the proximal interphalangeal joint usually of the middle or ring finger. Those individuals with a long symptomatic history and who have continued to climb unrestricted are at an increased risk of sustaining a partial or complete separation of the epiphysis from its attachment (8). Epiphyseal injuries need to be identified early and treated accordingly to avoid significant implications on skeletal maturation in adolescence such as premature growth plate closure leading to deformity.…”

Section: Types Of Finger Injurymentioning

confidence: 99%

A Critical Review of the Incidence and Risk Factors for Finger Injuries in Rock Climbing

Jones

Johnson

2016

Curr Sports Med Rep

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Rock climbing is a popular sporting activity and indoor sport climbing has been accepted for inclusion in the 2020 Olympic Games. The aim of this article is to critically review research on the incidence and risk factors associated with injuries during rock climbing. A semisystematic approach in reviewing literature on incidence and prevalence was applied. Articles were identified after searches of the following electronic databases: Discover, Academic Search Complete (EBSCO), PubMed, Embase, SPORTDiscus, and ScienceDirect. Despite methodological shortcomings of the studies contained within the review, the frequency of climbing-related injuries is high and can be challenging to diagnose. The fingers are the most common site of injury with previous injury a significant risk factor for reinjury. The annular pulleys of the fingers are the most commonly injured structure and evidence suggests epiphyseal fractures in adolescent sport climbers is increasing. A diagnostic and therapeutic algorithm for climbing-related finger injuries is proposed.

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Section: Types Of Finger Injurymentioning

confidence: 99%

A Critical Review of the Incidence and Risk Factors for Finger Injuries in Rock Climbing

Jones

Johnson

2016

Curr Sports Med Rep

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“…In adolescent rock climbers presenting with chronic finger pain and decreased motion, stress reactions such as cortical hypertrophy and subchondral sclerosis, as well as stress fractures of the proximal physeal plate (Salter-Harris type II or III) of the middle phalanx (mostly of digits 3 or 4) have been described, and lead to osteoarthritis [21,22].…”

Section: Wrist/handmentioning

confidence: 99%

Sport injuries in the paediatric and adolescent patient: a growing problem

et al. 2009

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With an increasing number of paediatric and adolescent athletes presenting with injuries due to overuse, a greater demand is put on clinicians and radiologists to assess the specific type of injury. Repetitive forces applied to the immature skeleton cause a different type of injury than those seen in adults due to the differences in vulnerability of the musculoskeletal system, especially at the site of the growth cartilage. Intrinsic and extrinsic risk factors all play a role in the development of overuse injuries. MRI plays a key role in imaging overuse injuries due to its high potential for depicting cartilaginous and softtissue structures. Sport-specific biomechanics are described, since this knowledge is essential for adequate MRI assessment. An overview of several sport-related injuries is presented, based on anatomical location.

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“…Many scientific climbing papers only present case studies or common hand injuries [17,19,30,41,48,54,55,[60][61][62][63] and are there- Table 1 The ten most frequent localization of climbing specific diagnoses 1/98-12/01 [61] n (%) Schöffl …”

Section: Injury Distributionmentioning

confidence: 99%

“…Scientific research in rock climbing up to date focused extensively on upper limb injuries. This may be based on the fact that various upper limb injuries as e.g., pulley injuries [44,60,79] , lumbrical shift syndrome [32] , extensor hood syndrome [80] or epiphyseal fatigue fractures in young climbers [63] are new pathologies and rather specific for the sport. Studies and reports on lower limb injuries and overuse syndromes are rare [23,25,33,75,77,78] .…”

Section: Et Al Feet Injuries In Rock Climbersmentioning

confidence: 99%

Feet injuries in rock climbers

Schöffl

Küpper²

2013

WJO

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While injuries of the upper extremity are widely discussed in rock climbers, reports about the lower extremity are rare. Nevertheless almost 50 percent of acute injuries involve the leg and feet. Acute injuries are either caused by ground falls or rock hit trauma during a fall. Most frequently strains, contusions and fractures of the calcaneus and talus. More rare injuries, as e.g. , osteochondral lesions of the talus demand a highly specialized care and case presentations with combined iliac crest graft and matrix associated autologous chondrocyte transplantation are given in this review. The chronic use of tight climbing shoes leads to overstrain injuries also. As the tight fit of the shoes changes the biomechanics of the foot an increased stress load is applied to the fore-foot. Thus chronic conditions as subungual hematoma, callosity and pain resolve. Also a high incidence of hallux valgus and hallux rigidus is described.© 2013 Baishideng. All rights reserved. Key words: Rock climbing; Sport climbing; Feet injuries; Hallux valgus; Overstrain injuriesCore tip: While injuries of the upper extremity are widely discussed in rock climbers, reports about the lower extremity are rare. Nevertheless almost 50 percent of acute injuries involve the leg and feet and most frequently are strains, contusions and fractures of the calcaneus and talus. The chronic use of tight climbing shoes leads to overstrain injuries also. As the tight fit of the shoes changes the biomechanics of the foot an increased stress load is applied to the fore-foot. Thus chronic conditions as subungual hematoma, callosity and pain resolve. Also a high incidence of hallux valgus and hallux rigidus is described.

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Epiphyseal Fractures of the Finger Middle Joints in Young Sport Climbers

Abstract: Chronic finger pain in young and intensively training climbers must be carefully evaluated, and radiographic studies need to be performed. The risk of epiphyseal injuries must be minimized by eliminating intensive power training in the schedules of athletes of this age.

Cited by 82 publications

References 5 publications

A Critical Review of the Incidence and Risk Factors for Finger Injuries in Rock Climbing

A Critical Review of the Incidence and Risk Factors for Finger Injuries in Rock Climbing

Sport injuries in the paediatric and adolescent patient: a growing problem

Feet injuries in rock climbers

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