Department of Medicine, Albert Einstein College of Medicine, Bronx NY.
Curr Sports Med Rep. 2023 Feb 1;22(2):55-60. doi: 10.1249/JSR.0000000000001036.
Rock climbing is an increasingly popular indoor sport with a sizable risk of overuse injuries. Yet, many medical practitioners have little familiarity with evaluating and treating climbing injuries because of the terminology, biomechanical demands, mechanisms of injury, and return to sport counseling needed, unique to the sport. This review seeks to educate practitioners on these aspects. Upper extremity injuries occur more frequently than lower extremity injuries, with finger injuries being most prevalent. Pulley injuries, consisting of rupture of the A2 or A4 annular pulleys are the most common type of injury. Other finger injuries include tenosynovitis of the flexor tendons, as well as lumbrical muscle tears. Elbow injuries occur frequently, with medial epicondylopathy being most common. Brachialis injuries are seldom seen outside of climbing. Lower-extremity injuries are typically more acute in nature, including ankle injuries from falls and knee injuries from strenuous climbing moves.
攀岩是一项越来越受欢迎的室内运动，有很高的过度使用损伤风险。然而，由于运动独有的术语、生物力学要求、损伤机制和重返运动咨询，许多医疗从业者对评估和治疗攀岩损伤的了解甚少。本文旨在向从业者介绍这些方面的知识。上肢损伤比下肢损伤更常见，手指损伤最为常见。滑车损伤，包括 A2 或 A4 环状滑车的破裂，是最常见的损伤类型。其他手指损伤包括屈肌腱腱鞘炎以及蚓状肌撕裂。肘部损伤很常见，其中内侧上髁炎最为常见。肱肌损伤除了攀岩外很少见。下肢损伤通常更急性，包括因跌倒导致的脚踝损伤和因剧烈攀岩动作导致的膝盖损伤。
