Kletterverletzungen der Hand

Volker Schöffl; Michael Simon; Christoph Lutter

doi:10.1055/a-1181-7044

Praxis Handreha, Table of Contents

Praxis Handreha 2020; 01(04): 186-193
DOI: 10.1055/a-1181-7044

Aus der Praxis – für die Praxis

Kletterverletzungen der Hand

Volker Schöffl

,

Michael Simon

,

Christoph Lutter

Abstract

Rupturen, Entzündungen, Frakturen: Klettern gehört mittlerweile zum Breitensport. Dadurch nehmen auch Verletzungen und Überlastungserscheinungen zu, die häufig die Hände betreffen. Die Differenzierung der einzelnen Diagnosen ist nicht einfach, eine konservative Therapie oftmals das Mittel der Wahl.

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References

Literatur
1 Schöffl V, Simon M, Lutter C. Finger and shoulder injuries in rock climbing. Der Orthopäde 2019; 48 (12) : 1005-1012.
2 Lutter C, El-Sheikh Y, Schoffl I, Schoffl V. Sport climbing: Medical considerations for this new Olympic discipline. Br J Sports Med 2017; 51 (01) : 2-3.
3 Schöffl V, Lutter C. The „Newbie“ Syndrome. Wilderness Environ Med 2017; 28 (04) : 377-380.
4 Buzzacott P, Schöffl I, Chimiak J, Schöffl V. Rock climbing injuries treated in US emergency departments, 2008–2016. Wilderness Environ Med 2019; 30 (02) : 121-128
5 Jones G, Schöffl V, Johnson MI. Incidence, diagnosis and management of injury in sport climbing and bouldering: A critical review. Curr Sports Med Rep 2018; 17 (11) : 396-401
6 Nelson NG, McKenzie LB. Rock climbing injuries treated in emergency departments in the US, 1990–2007. Am J Prevent Med 2009; 37 (03) : 195-200
7 Schöffl V, Morrison A, Schöffl I, Küpper T. Epidemiology of injury in mountaineering, rock and iceclimbing. In: Caine D, Heggie T, Hrsg. Medicine and Sport Science – Epidemiology of injury in adventure and extreme sports, Bd 58. Basel: Karger; 2012. : 17-43
8 Schöffl V, Popp D, Küpper T, Schöffl I. Injury distribution in rock climbers – A prospective evaluation of 911 injuries between 2009–2012. Wilderness Environ Med 2015; 26 (01) : 62-67
9 Lutter C, Tischer T, Hotfiel T. et al. Current trends in sport climbing injuries after the inclusion into the Olympic program. Analysis of 633 injuries within the years 2017 / 18. Muscles Ligaments Tendons J 2020; 10 (02) : 201-210
10 Schöffl V, Schöffl I, Hochholzer T, Lutter C. Klettermedizin – Grundlagen, Unfälle, Verletzungen und Therapie. Berlin Heidelberg: Springer; 2020
11 Schöffl I, Deeg J, Lutter C. et al. Diagnosis of A3 pulley injuries using ultrasound. Sportverletz Sportschaden 2018; 32 (04) : 251-259.
12 Klauser A, Stadlbauer KH, Frauscher F. et al. Value of transducer positions in the measurement of finger flexor tendon thickness by sonography. J Ultrasound Med 2004; 23 (03) : 331-337
13 Klauser A, Bodner G, Frauscher F. et al. Finger injuries in extreme rock climbers. Assessment of high-resolution ultrasonography. Am J Sports Med 1999; 27 (06) : 733-737
14 Bollen SR. Injury to the A2 pulley in rock climbers. J Hand Surg (Br) 1990; 15 (02) : 268-270
15 Schöffl V, Hochholzer T, Winkelmann HP, Strecker W. Zur Therapie von Ringbandverletzungen bei Sportkletterern. Handchir Mikrochir Plast Chir 2004; 36 (04) : 231-236
16 Schneeberger M, Schweizer A. Pulley ruptures in rock climbers: Outcome of conservative treatment with the pulley-protection splint; a series of 47 cases. Wilderness Environ Med 2016; 27 (02) : 211-218.
17 Schöffl VR, Schöffl I. Finger pain in rock climbers: Reaching the right differential diagnosis and therapy. J Sports Med Phys Fitness 2007; 47 (01) : 70-78
18 Schöffl V, Strohm P, Lutter C. Efficacy of corticosteroid injection in rock climber’s tenosynovitis. Hand Surg Rehabil 2019 38 (05) : 317-322.
19 Schöffl I, Einwag F, Strecker W. et al. Impact of taping after finger flexor tendon pulley ruptures in rock climbers. J Appl Biomech 2007; 23: 52-62
20 Hochholzer T, Schöffl VR. Epiphyseal fractures of the finger middle joints in young sport climbers. Wilderness Environ Med 2005; 16 (03) : 139-142
21 Schöffl I, Schöffl V. Epiphyseal stress fractures in the fingers of adolescents: Biomechanics, pathomechanism, and risk factors. Europ J Sports Medic 2015; 3 (01) : 27-37
22 El-Sheikh Y, Lutter C, Schöffl I, Schöffl V, Flohe S. Surgical management of proximal interphalangeal joint repetitive stress epiphyseal fracture nonunion in elite sport climbers. J Hand Surg (Am) 2018; 43 (06) : 572.e1-572.e5
23 Schweizer A. Lumbrical tears in rock climbers. J Hand Surg (Br) 2003; 28 (02) : 187-189
24 Lutter C, Schweizer A, Schöffl V. et al. Lumbrical muscle tear: Clinical presentation, imaging findings and outcome. J Hand Surg (Eu) 2018; 43 (07) : 767-775
25 Hochholzer T, Schöffl V. So weit die Hände greifen. 4.. Aufl. Ebenhausen: Lochner Verlag; 2014
26 Schweizer A. Biomechanical effectiveness of taping the A2 pulley in rock climbers. J Hand Surg (Br) 2000; 25 (01) : 102-107
27 Schöffl V, Lutter C, Woollings K, Schöffl I. Pediatric and adolescent injury in rock climbing. Res Sports Med 2018; 26 (sup1): 91-113.
28 Schöffl VR, Hoffmann PM, Imhoff A. et al. Long-term radiographic adaptations to stress of high-level and recreational rock climbing in former adolescent athletes: An 11-year prospective longitudinal study. Orthop J Sports Med 2018; 6 (09) : 2325967118792847.
29 Schöffl I, Lutter C, Schöffl V. What to examine in youth climbing athletes: Yearly examination of the German climbing team and its consequences. Sportverl Sportschad 2019; 33 (04) : 212-215.