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Ellenbogenluxationsverletzungen beim Trendsport Bouldern

Traumatic elbow dislocations in bouldering

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Zusammenfassung

Bouldern gehört zu den modernen Trendsportarten. Als sportarttypische Verletzungen sind überwiegend degenerative Überlastungsschäden durch die dauerhafte Flexionsstellung der Finger wie z. B. Ringbandverletzungen (sog. „Kletterfinger“) bekannt. Berichte über spezifische, akuttraumatische Verletzungen des Ellenbogengelenks liegen in der Literatur bislang nicht vor. Im Zeitraum 04/2011 bis 06/2012 wurden in unserer Klinik insgesamt 5 Ellenbogenluxationsverletzungen behandelt, die alle auf Abstürze beim Bouldern zurückzuführen sind. Die Absturzhöhe lag in allen Fällen bei maximal 4 m. Das Verletzungsausmaß erstreckte sich dabei von der einfachen Ellenbogenluxation bis hin zu komplexen Ellenbogenluxationsfrakturen. Der Unfallmechanismus der einzelnen Verletzungen, das therapeutische Vorgehen und die Nachbehandlung werden im Detail vorgestellt. Die vorgestellte Fallserie soll zeigen, dass der Trendsport Bouldern möglicherweise ein spezifisches Gefahrenpotential für Ellenbogenluxationsverletzungen birgt, welches bis dato nicht beschrieben wurde.

Abstract

Bouldering is a new trend sport which has become popular in recent years. From April 2011 to June 2012 a total of 5 patients with elbow dislocations from bouldering were admitted to our level 1 trauma center. The injuries varied from simple elbow dislocations to complex fracture dislocations. Elbow dislocations occurred during falling backwards when patients tried to protect themselves by retroversion of both arms. In all cases the falling height was less than 4 meters. The bouldering injury pattern, the diagnostic and therapeutic management as well as the rehabilitation program are described in detail in this article. To the best of our knowledge this is the first report on the special danger of bouldering for complex elbow injuries.

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Authors and Affiliations

  1. Klinik und Poliklinik für Unfallchirurgie, Klinikum rechts der Isar Technische Universität München, Ismaninger Str. 22, 81675, München, Deutschland

    G.H. Sandmann,  S. Siebenlist, M. Neumaier, P. Ahrens, C. Kirchhoff, K.F. Braun, M. Lucke & P. Biberthaler

  2. Klinik und Poliklinik für Orthopädie, Abteilung für Sportorthopädie, Klinikum Rechts der Isar Technische Universität München, Ismaninger Str. 22, 81675, München, Deutschland

    A. Lenich

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  1. G.H. Sandmann
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  2. S. Siebenlist
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  3. A. Lenich
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  4. M. Neumaier
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  5. P. Ahrens
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  6. C. Kirchhoff
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  7. K.F. Braun
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  8. M. Lucke
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  9. P. Biberthaler
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Correspondence to S. Siebenlist.

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G.H. Sandmann und S. Siebenlist trugen zu gleichen Teilen zu dieser Arbeit bei.

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Sandmann, G., Siebenlist, S., Lenich, A. et al. Ellenbogenluxationsverletzungen beim Trendsport Bouldern. Unfallchirurg 117, 274–280 (2014). https://doi.org/10.1007/s00113-013-2419-9

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  • DOI: https://doi.org/10.1007/s00113-013-2419-9

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