Identeg Fredrik, Orava Ebba, Sansone Mikael, Karlsson Jon, Hedelin Henrik
Orthopaedic department, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
J Exp Orthop. 2021 Oct 9;8(1):89. doi: 10.1186/s40634-021-00407-1.
Injury prevalence patterns for climbers have been presented in several papers but results are heterogenous largely due to a mix of included climbing disciplines and injury mechanisms. This study describes the distribution and pattern of acute traumatic climbing injuries sustained during outdoor climbing in Sweden.
Patients that experienced a climbing related traumatic injury during outdoor climbing between 2008 and 2019 and who submitted a self-reported questionnaire to the Swedish Climbing Association were included in the study. Medical records were retrieved, and the International Climbing and Mountaineering Federation injury classification system was used for injury presentation.
Thirty-eight patients were included in the study. Seven (18%) injuries occurred during traditional climbing, 13 (34%) during sport climbing and 9 (24%) during bouldering. Varying with climbing discipline, 84-100% injuries were caused by falls. Injuries of the foot and ankle accounted for 72-100% of the injuries. Fractures were the most common injury (60%) followed by sprains (17%) and contusions (10%).
Traumatic injuries sustained during outdoor climbing in Sweden were predominantly caused by falls and affected the lower extremities in all major outdoor climbing disciplines. Rope management errors as a cause of injury were common in sport climbing and in activity surrounding the climbing, indicating there is room for injury-preventing measures.
已有多篇论文介绍了攀岩者的损伤流行模式，但结果存在异质性，这主要是由于纳入的攀岩项目和损伤机制各不相同。本研究描述了瑞典户外攀岩过程中发生的急性创伤性攀岩损伤的分布和模式。
本研究纳入了2008年至2019年间在户外攀岩时遭受与攀岩相关创伤性损伤并向瑞典攀岩协会提交了自我报告问卷的患者。检索医疗记录，并使用国际登山和攀岩联合会损伤分类系统来呈现损伤情况。
38名患者纳入研究。7例（18%）损伤发生在传统攀岩过程中，13例（34%）发生在运动攀岩过程中，9例（24%）发生在抱石过程中。因攀岩项目不同，84%-100%的损伤由坠落所致。足部和踝关节损伤占损伤总数的72%-100%。骨折是最常见的损伤类型（60%），其次是扭伤（17%）和挫伤（10%）。
瑞典户外攀岩过程中遭受的创伤性损伤主要由坠落引起，且在所有主要户外攀岩项目中均影响下肢。在运动攀岩及其周边活动中，绳索管理失误作为损伤原因很常见，这表明在预防损伤措施方面仍有改进空间。
