Abstract
Radiological imaging is essential for correct diagnosis of climbing injuries. Classical X-ray procedures and computed tomography (CT) as cross-sectional imaging are excellent for detecting bony changes, such as degeneration, fracture, or avulsion. However, they have limited soft tissue contrast and are associated with exposure of the patient to ionizing radiation. Sonography is widely applied, is easy to learn, and can be performed functionally during the patient’s movement. It is suited for the primary diagnosis of soft tissue injuries caused by climbing, such as the pulley rupture. Magnetic resonance imaging (MRI) offers better soft tissue contrast than any other cross-sectional imaging and is established for further diagnosis of numerous musculoskeletal issues in climbing.
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References
Lutter C, Schweizer A, Hochholzer T, Bayer T, Schoffl V. Pulling harder than the hamate tolerates: evaluation of hamate injuries in rock climbing and bouldering. Wilderness Environ Med. 2016;27(4):492–9.
Bayer T, Schweizer A. Stress fracture of the hook of the hamate as a result of intensive climbing. J Hand Surg Eur. 2009;34(2):276–7.
Bayer T, Schoffl VR, Lenhart M, Herold T. Epiphyseal stress fractures of finger phalanges in adolescent climbing athletes: a 3.0-Tesla magnetic resonance imaging evaluation. Skelet Radiol. 2013;42(11):1521–5.
Klauser A, Frauscher F, Bodner G, Halpern EJ, Schocke MF, Springer P, et al. Finger pulley injuries in extreme rock climbers: depiction with dynamic US. Radiology. 2002;222(3):755–61.
Guntern D, Goncalves-Matoso V, Gray A, Picht C, Schnyder P, Theumann N. Finger A2 pulley lesions in rock climbers: detection and characterization with magnetic resonance imaging at 3 Tesla—initial results. Investig Radiol. 2007;42(6):435–41.
Goncalves-Matoso V, Guntern D, Gray A, Schnyder P, Picht C, Theumann N. Optimal 3-T MRI for depiction of the finger A2 pulley: comparison between T1-weighted, fat-saturated T2-weighted and gadolinium-enhanced fat-saturated T1-weighted sequences. Skelet Radiol. 2008;37(4):307–12.
Bayer T, Fries S, Schweizer A, Schöffl I, Janka R, Bongartz G. Stress examination of flexor tendon pulley rupture in the crimp grip position: a 1.5-Tesla MRI cadaver study. Skelet Radiol. 2014;
Bayer T, Adler W, Janka R, Uder M, Roemer F. Magnetic resonance cinematography of the fingers: a 3.0 Tesla feasibility study with comparison of incremental and continuous dynamic protocols. Skelet Radiol. 2017;46(12):1721–8.
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Bayer, T. (2022). Imaging of Climbing Injuries. In: Schöffl, V., Schöffl, I., Lutter, C., Hochholzer, T. (eds) Climbing Medicine . Springer, Cham. https://doi.org/10.1007/978-3-030-72184-8_5
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DOI: https://doi.org/10.1007/978-3-030-72184-8_5
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