SUMMARY
Background. Over the last decade, rock climbing has become an increasingly popular sport. With the latest inclusion into the Olympic program, this trend will continue upward. Lately, specific tendon injuries on the hand (e.g. lumbricalis tendon injuries or tenosynovitis) are reported to be on the rise within climbing patients.
Design. Clinical cohort study and comparison with literature data. Review of current therapeutic concepts.
Methods. Tendon injuries to the hands of rock climbers were identified from our climbers patient database over the years of 2017/18. These were compared to the numbers of 2009-2012 and 1998-2001. The injuries were analyzed, and the results were compared with the current literature.
Results. Within the ten most frequent injuries over the years 2017 and 2018, three were to the tendons and tendon sheath/pulleys. In a longitudinal comparison of patients in a climbing-specific sports medical clinic, the pulley injury is consistently the most frequent injury, followed by tenosynovitis and capsulitis of the finger joints.
Conclusions. In rock climbers, tendon injuries of the hand are frequent and many of these specific to the sport. Special knowledge about their pathology, diagnostics and treatment is necessary as some of these injuries rarely occur in non-climbing patients. With the further advent of climbing, an increase in injury incidence is to be expected.
Tendon Injuries in the Hands in Rock Climbers: Epidemiology, Anatomy, Biomechanics and Treatment – An Update
V. Schöffl, I. Schöffl, L. Frank, T. Küpper, M. Simon, C. Lutter
Original Article, 233-243
Keywords: finger injury, lumbrical tear, pulley injury, pulley tear, Sport climbing, tenosynovitis,
Table of Content: Vol. 10 (No.2) 2020 April/June
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Systems & Methods in Extreme Sports Medicine
F. Feletti, A. P. Moorhead, O. Mei-DanEditorial, 154-155 -
Injury Patterns and Wilderness Medical Preparedness in BASE Jumping
J. W. Sieker, G. M. Vilke, M. S. Schongalla, O. Mei-DanOriginal Article, 156-164 -
Use of a Prospective Survey Method to Capture a Picture of Overuse Injuries in Kitesurfing
R. Paiano, F. Feletti, M. Tarabini, P. BuzzacottOriginal Article, 165-170 -
Injury Prevention in The Sport of Surfing: An Update
A. NathansonOriginal Article, 171-178 -
Injuries in Mountain Biking and Implications for Care
D.C. Fiore, K. M. Fellows, T. A. HennerOriginal Article, 179-191 -
Rodeo Injuries: The Role of Safety Equipment
C. R. Reisenauer, J. W. StonebackOriginal Article, 192-200 -
Current Trends in Sport Climbing Injuries after the Inclusion into the Olympic Program. Analysis of 633 Injuries within the years 2017/18
C. Lutter, T. Tischer, T. Hotfiel, L. Frank, A. Enz, M. Simon, V. SchöfflOriginal Article, 201-210 -
A Review of Head Injury and Impact Biomechanics in Recreational Skiing and Snowboarding
D A. Patton, A. S. McIntosh, B. E. Hagel, T. KrosshaugReview, 211-232 -
Tendon Injuries in the Hands in Rock Climbers: Epidemiology, Anatomy, Biomechanics and Treatment – An Update
V. Schöffl, I. Schöffl, L. Frank, T. Küpper, M. Simon, C. LutterOriginal Article, 233-243 -
Assessment of the Ultimate Actual Strength of Rock-Climbing Protection Devices: Extraction Tests in the Field and the Human Capability to Predict the Ultimate Strength
A. Manes, F. CadiniOriginal Article, 244-256 -
Practical and Conceptual Analysis of Wingsuit BASE Flight
A. Stöckl, J. Sieker, A. Westman, O. Mei-DanOriginal Article, 257-268 -
Altitude Training and Endurance and Ultra-Endurance Performance
M. MarzoratiMini - Review, 269-273 -
Accidents and Risk Related Behaviours in Downhill Mountain Biking in Regard to Trail Choice
A. Frühauf, M. Huter, E. Weiß, M. KoppOriginal Article, 274-279 -
Hand-arm vibration in motocross: measurement and mitigation actions
M. Tarabini, N. Mauri, I. Gaudio, S. Cinquemani, A. P. Moorhead, R. Bongiovanni, F. FelettiOriginal Article, 280-289 -
Review on Reported Concussion, Identification and Management in Extreme Sports
C. N. Seehusen, V. Mucci, K. E. Welman, C. J. Browne, F. Feletti, A. J. ProvanceReview, 290-299 -
Surgical treatment of muscle injury. A review of current literature and indications
A. Giai Via, G. Discalzo, F. Oliva, R. Matteotti, N. MaffulliReview, 300-308 -
Conceptualising Performance Enhancement in Extreme Sports: Combining Physiological and Psychological Perspectives
E. Monasterio, E. Brymer, I. StewartOriginal Article, 309-314 -
An Ecological Dynamics Perspective of Return to Play Decision-Making for Extreme Sport Athletes
J. Nyland, A. Smith, B. Pyle, O. Mei-DanOriginal Article, 315-324 -
Protective and Supportive Garments and Bracing to Enhance Extreme Sport Performance and Injury Prevention
J. Nyland, A. Cecil, R. Singh, C. Raj PandeyOriginal Article, 325-332 -
A Systematic Review of Smart Clothing in Sports: possible Applications to Extreme Sports
S. Scataglini, A. P. Moorhead, F. FelettiOriginal Article, 333-342