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Wrist Injuries in Climbers
Volker Schöffl1,2,3,4, Herb von Schroeder5,6,7,8, Jens Lisse9
1Department of Orthopedic and Trauma Surgery, Klinikum Bamberg, Bamberg, Germany.
The American Journal of Sports Medicine
|October 6, 2023
Summary
Climbing athletes frequently experience wrist injuries, with ulnar-sided conditions being most common. While most treatments yield favorable outcomes, persistent discomfort affects about a third, highlighting the need for precise diagnosis and prompt care.
Area of Science:
- Orthopedics
- Sports Medicine
- Climbing Medicine
Background:
- Wrist injuries are common among climbing athletes but lack extensive evaluation.
- Categorizing these injuries, understanding risk factors, and assessing treatment outcomes are crucial.
Purpose of the Study:
- To evaluate the distribution, outcomes, and influencing factors of wrist injuries in climbers.
Main Methods:
- A 4-year case series (2017-2020) analyzed 69 climbers with 78 wrist injuries.
- Data included climbing background, injury diagnosis (UIAA grade), and treatment outcomes (PRWE, QuickDASH, DASH-Sport scores).
- Minimum 2-year follow-up assessed pain, function, and return to climbing.
Main Results:
- 78 wrist injuries were analyzed, with 69.2% being chronic. Common diagnoses included synovitis, ulnar impaction, and bone marrow edema.
- Nonoperative treatment was used for 61 injuries, surgical for 17. Overall, 65.4% healed without lasting issues.
- Significant improvements were noted in pain (VAS), wrist function (PRWE), and sport-specific disability (QuickDASH, DASH-Sport) post-treatment (P < .001).
Conclusions:
- Climbing-related wrist injuries present diverse diagnoses, with ulnar-sided issues predominating.
- Favorable outcomes were observed with both surgical and nonoperative treatments.
- Persistent discomfort in approximately one-third of climbers underscores the need for accurate diagnosis and expert management.
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