A Life Dedicated to Climbing and Its Sequelae in the Fingers-A Review of the Literature.

Pastor, Tatjana; Schweizer, Andreas; Andronic, Octavian; Dietrich, Léna G.; Berk, Till; Gueorguiev, Boyko; Pastor, Torsten (2022). A Life Dedicated to Climbing and Its Sequelae in the Fingers-A Review of the Literature. International journal of environmental research and public health, 19(24) 10.3390/ijerph192417050

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Fingers of sport climbers are exposed to high mechanical loads. This work focuses on the fingers of a 52-year-old active elite climber who was the first in mankind to master 8B (V13), 8B+ (V14) and 8C (V15) graded boulders, bringing lifelong high-intensity loads to his hands. It is therefore hypothesized that he belongs to a small group of people with the highest accumulative loads to their fingers in the climbing scene. Fingers were analyzed by means of ultrasonography, X-rays and physical examination. Soft tissue and bone adaptations, as well as the onset of osteoarthritis and finger stiffness, were found, especially in digit III, the longest and therefore most loaded digit. Finally, this article aims to provide an overview of the current literature in this field. In conclusion, elite sport climbing results in soft tissue and bone adaptations in the fingers, and the literature provides evidence that these adaptations increase over one's career. However, at later stages, radiographic and clinical signs of osteoarthritis, especially in the middle finger, seem to occur, although they may not be symptomatic.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Plastic and Hand Surgery
04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Plastic and Hand Surgery > Hand Surgery

UniBE Contributor:

Pastor, Tatjana, Dietrich, Lena

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1660-4601

Language:

English

Submitter:

Pubmed Import

Date Deposited:

09 Jan 2023 14:05

Last Modified:

09 Jan 2023 23:23

Publisher DOI:

10.3390/ijerph192417050

PubMed ID:

36554928

Uncontrolled Keywords:

climbing finger load adaptation osteoarthritis osteophyte overuse

BORIS DOI:

10.48350/176504

URI:

https://boris.unibe.ch/id/eprint/176504

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