wrist, and hand injuries among sport rock climbers [Review] [25 refs]
LM. Noakes TD.
Institution: Department of Anatomy and Cell Biology, University of Cape Town
Medical School, Observatory, South Africa.
Source: Clinical Journal of Sport Medicine. 6(3):196-203, 1996 Jul.
OBJECTIVES: Sport rock
climbing with its repetitive high-torque movements in gaining the ascent of
a rock face or wall, often in steep overhanging positions, is associated with
a unique distribution and form of upper limb injuries. In this article, we review
the biomechanical aspects of sport rock climbing and the types of injuries commonly
encountered in the forearm, wrist, and hand regions of elite sport rock climbers.
Because elbow, forearm, wrist, and hand injuries predominate, representing 62%
of the total injuries encountered, these anatomical areas have been selected
DATA SOURCES: The predominant
source of data are the published work of Bollen et al. The remaining sources
were obtained through electronic search of the Medline and Current Contents
Databases (last searched May 1995). German and French articles were included
in the search criteria.
STUDY SELECTION: Only studies
dealing with acute soft tissue and overuse injuries amongst sport rock climbers
DATA EXTRACTION: Data were
extracted directly from the sourced articles.
DATA SYNTHESIS: The following
injuries have been described in detail with regard to their presentation, diagnosis,
treatment, and prevention amongst sport rock climbers: medial epicondylitis,
brachialis tendonitis, biceps brachii tendonitis, ulnar collateral ligament
sprain of the elbow, carpal tunnel syndrome, digital flexor tendon pulley sheath
tears, interphalangeal joint effusions, fixed flexion deformities of the interphalangeal
joints, and collateral ligament tears of the interphalangeal joints.
CONCLUSION: Many of the
injuries are specific to the handhold types used by the rock climber. Accurate
diagnosis and effective treatment of these unique injuries will be facilitated
by a wider understanding of the biomechanical aspects of rock climbing and an
awareness of the patterns and incidence of injuries in this sport. [References: