Acute hand and wrist injuries in experienced rock climbers

Acute hand and wrist injuries in experienced rock climbers
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DOI:
10.1136/bjsm.2002.003558
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发表时间:
2004-10-01
影响因子:
18.4
通讯作者:
Dias, J
Dias, J
中科院分区:
医学1区
文献类型:
--
作者:
Logan, AJ;Makwana, N;Dias, J

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背景:攀岩运动有其自身的损伤范围,其中几乎一半涉及手腕和手。目的:了解545名英国登山俱乐部会员腕部和手部急性损伤的发生率。方法:向英国登山者俱乐部的现有会员发放了1100份问卷,详细了解迄今为止任何手部和手腕受伤的情况。以10年为单位,确定攀登等级和攀登时间。从这些结果可以计算出每个攀登者的总和历史攀登强度得分。结果:有一半的问卷是完整的。受访者几乎全是男性。155名登山者中腕、手损伤235例(28%)。损伤组的攀爬强度评分明显高于无腕、手外伤组(p < 0.05)。手指肌腱损伤是最常见的损伤,其次是擦伤/撕裂伤和骨折。讨论:攀岩中最常见的损伤包括手腕和手。手的主要损伤包括手指肌腱或滑轮。在攀岩者的职业生涯中,攀岩强度越大,遭受这些伤害的可能性就越大。
Background: The sport of rock climbing has its own spectrum of injuries, almost half of which involve the wrist and hand.Objective: To examine the incidence of acute wrist and hand injuries in 545 members of The Climbers' Club of Great Britain.Method: A total of 1100 questionnaires were sent to current members of The Climbers' Club of Great Britain for them to detail any hand and wrist injuries sustained to date. In decade years, the climbing grades and time spent climbing at each grade were determined. From these results a total and historic climbing intensity score for each climber could be calculated.Results: Half of the questionnaires were returned complete. The respondents were almost entirely male. There were 235 wrist and hand injuries in 155 climbers (28%). The climbing intensity scores were significantly higher in the injury group than in those who had not suffered a wrist or hand injury (p < 0.05). Finger tendon injuries were the most common injury, followed by abrasions/lacerations and fractures.Discussion: The most common injuries found in rock climbing involve the wrist and hand. The predominant injury to the hand involves the finger tendons or pulleys. The greater the climbing intensity calculated over a climber's career, the greater the likelihood of sustaining these injuries.