Pediatric and adolescent injury in rock climbing.

Rock climbing is a fast-growing sport performed by athletes in all age groups, especially youths. While epidemiological data are available for injuries in adults, these data are lacking for young climbers. The current literature shows it being a comparably safe activity, mostly in indoor and sport climbing. Age related self-responsibility is necessary under guided supervision by an adult. Injuries are mostly related to a fall (e.g. alpine environment) or overstrain. Epiphyseal stress fractures of the fingers are a major concern, especially during the pubertal growth spurt. A critical evaluation of finger pain in young climbers as well as a neglect of certain training exercises is crucial. Suggestions for injury prevention and further research are provided.