Radiographic Changes in the Hands and Fingers of Young, High-Level Climbers

Schöffl, Volker; Hochholzer, Thomas; Imhoff, Andreas B.

doi:10.1177/0363546503262805

Cited by 54 publications

(70 citation statements)

References 16 publications

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“…Chronic overuse injuries occur most often on the upper extremities at the elbow and the fingers [8,22,35]. As hand and finger injuries are the most common (table 7), many studies focus on these [9,24,[33][34][35][36][37][38]45]. Schöffl et al [35] found as the most common climbing injury the closed pulley rupture and the most common overuse injuries were epicondylitis and tenosynovitis of the finger flexor tendons.…”

Section: Injury Typementioning

confidence: 99%

“…Modified from Schöffl et al[5] DAV = German Alpine Club; NACA = National Advisory Committee for Aeronautics, I = interview, P = prospective, Q = questionnaire, R = retrospective, E = physical examination. a NACA score graded by the authors according to the information given in the study.summits, making comparison with studies reporting injuries 1,000 h of sports performance difficult(table 4).Anatomical LocationTraditional and Sport Climbing Unfortunately, many scientific climbing papers present case studies or common hand injuries[9,24,[33][34][35][36][37][38] and are therefore not suitable for injury distribution analysis. So far, most research indicates that the upper extremity to be the most injured body regions in non-alpine rock climbing[8,19,22,24,25,27,39,40].…”

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confidence: 99%

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The Epidemiology of Injury in Mountaineering, Rock and Ice Climbing

Schöffl

Morrison²,

Schöffl³

et al. 2012

Medicine and Sport Science

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124

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Climbing and mountaineering sports are gaining more and more public interest. This chapter reviews scientific studies on injuries and accidents in climbing and mountaineering sports to evaluate the danger of these sports and their specific injuries and preventive measures. An initial PubMed query was performed using the key words 'rock climbing', 'sport climbing', 'mountaineering', 'alpine injuries' and 'climbing injuries'. More than 500 extracted papers were analyzed which gave information on injury, mortality/fatality, prevention and risk factors. Cross-references were also scanned according to the above given criteria. Also the data sources of the UIAA and IFSC Medical Commissions were analyzed. Overall, alpine (traditional) climbing has a higher injury risk than sport climbing, especially indoor climbing. Alpine and ice climbing have more objective dangers which can affect climber safety. Overall injury rates are low, nevertheless fatalities do occur in all climbing disciplines. Altitude-related illnesses/injuries also occur in mountaineering. Most injuries in sport climbing are overstrain injuries of the upper extremity. In alpine climbing, injuries mostly occur through falls which affect the lower extremity. Objective reporting of the injury site and severity varied in most studies according to the injury definition and methodology used. This creates differences in the injury and fatality results and conclusions, which in turn makes inter-study comparisons difficult. In future studies, the UIAA MedCom score for mountain injuries should be used to guarantee inter-study comparability. Evidence in preventive measures is low and further studies must be performed in this field.

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Section: Injury Typementioning

confidence: 99%

mentioning

confidence: 99%

The Epidemiology of Injury in Mountaineering, Rock and Ice Climbing

Schöffl

Morrison²,

Schöffl³

et al. 2012

Medicine and Sport Science

Self Cite

124

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“…[23] T›rman›c›l›k da el OA's› ile iliflkili bulunmufltur. [24] Ayr›ca, Çinliler'de çubukla yemek yemek gibi spesifik aktiviteler de el OA's› ile iliflkilidir. [25] …”

Section: Mekanik Yükunclassified

Approach to hand osteoarthritis

Ermurat¹,

Dalkılıç²

2016

RAED Derg

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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%

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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Radiographic Changes in the Hands and Fingers of Young, High-Level Climbers

Abstract: Intensive training and climbing lead to adaptive reactions; nevertheless, osteoarthrotic changes are rare.

Cited by 54 publications

References 16 publications

The Epidemiology of Injury in Mountaineering, Rock and Ice Climbing

The Epidemiology of Injury in Mountaineering, Rock and Ice Climbing

Approach to hand osteoarthritis

Feet injuries in rock climbers

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