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Climber's Finger
Climber's finger is one of the most common climbing injuries within the sport of rock climbing, accounting for about 30% of finger injuries seen in climbers. It is an overuse injury that usually manifests in a swollen middle or ring finger due to a damaged flexor tendon pulley, normally the A2 or A4 pulley. It is particularly common after a repeated utilization of small holds. Continued climbing on an injured finger may result in increased downtime in order to recover. The injury was first described in 1988 by Dr. S.R. Bollen. __TOC__ Cause Rock climbers often support their body with bent fingers on small edges, known as "crimps", especially on more difficult routes. This can cause a characteristic injury to the pulleys (annular ligaments), named "climber's finger". Treatment Management of pulley injuries of the fingers is to follow the RICE method. Other treatment suggestions are listed below: * The patient is to immediately cease climbing and any other activity that puts stre ...
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Climbing Injuries
Injuries in rock climbing may occur due to falls, or due to overuse (see Sports injury). Injuries due to falls are relatively uncommon; the vast majority of injuries result from overuse, most often occurring in the fingers, elbows, and shoulders. Such injuries are often no worse than torn calluses, cuts, burns and bruises. However, overuse symptoms, if ignored, may lead to permanent damage (esp. to tendons, tendon sheaths, ligaments, and joint capsules). Risk groups The climbers most prone to injuries are intermediate to expert within lead climbing or bouldering. Overuse injuries in climbing In terms of overuse injuries a British study found that: * 40% occurred in the fingers * 16% in the shoulders * 12% in the elbows * 5% in the knees * 5% in the back * 4% in the wrists One injury that tend to be very common among climbers is Carpal tunnel syndrome. It is found in about 25% of climbers. Finger injuries 604 injured rock climbers were prospectively evaluated from January 1998 to ...
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Rock Climbing
Rock climbing is a sport in which participants climb up, across, or down natural rock formations. The goal is to reach the summit of a formation or the endpoint of a usually pre-defined route without falling. Rock climbing is a physically and mentally demanding sport, one that often tests a climber's strength, endurance, agility and balance along with mental control. Knowledge of proper climbing techniques and the use of specialized climbing equipment is crucial for the safe completion of routes. Because of the wide range and variety of rock formations around the world, rock climbing has been separated into several different styles and sub-disciplines, such as scrambling, bouldering, sport climbing, and trad (traditional) climbing another activity involving the scaling of hills and similar formations, differentiated by the rock climber's sustained use of hands to support their body weight as well as to provide balance. Rock climbing competitions have the objectives of either ...
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Sports Injuries
Sports injuries are injuries that occur during sport, athletic activities, or exercising. In the United States, there are approximately 30 million teenagers and children who participate in some form of organized sport. Of those, about three million athletes age 14 years and under experience a sports injury annually. According to a study performed at Stanford University, 21 percent of the injuries observed in elite college athletes caused the athlete to miss at least one day of sport, and approximately 77 percent of these injuries involved the knee, lower leg, ankle, or foot. In addition to those sport injuries, the leading cause of death related to sports injuries is traumatic head or neck occurrences. When an athlete complains of pain, injury, or distress, the key to diagnosis is a detailed history and examination. An example of a format used to guide an examination and treatment plan is a S.O.A.P note or, subjective, objective, assessment, plan. Another important aspect of sp ...
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Flexor Tendon Pulley
In human anatomy, the annular ligaments of the fingers, often referred to as A pulleys, are the annular part of the fibrous sheathes of the fingers. Four or five such annular pulleys, together with three cruciate pulleys, form a fibro-osseous tunnel on the palmar aspect of the hand through which passes the deep and superficial flexor tendons. The annular and cruciate ligaments serve to govern the flexor mechanism of the hand and wrist, providing critical constraints to the flexor tendons to prevent bowstringing upon contraction and excursion of extrinsic flexor musculo-tendinous units. The first annular pulley (A1 pulley), near the head of the metacarpal bone, lies in the flexor groove in the deep transverse metacarpal ligament. As a general rule, the A1, A3, and A5 pulleys in the fingers are "joint pulleys" that originate from the volar plate In the human hand, palmar or volar plates (also referred to as palmar or volar ligaments) are found in the metacarpophalangeal (MCP) ...
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Annular Ligaments Of Fingers
In human anatomy, the annular ligaments of the fingers, often referred to as A pulleys, are the :wikt:annular, annular part of the fibrous sheathes of the fingers. Four or five such annular pulleys, together with three Cruciate ligaments of fingers, cruciate pulleys, form a fibro-osseous tunnel on the palmar aspect of the hand through which passes the Flexor digitorum profundis muscle, deep and Flexor digitorum superficialis muscle, superficial flexor tendons. The annular and cruciate ligaments serve to govern the flexor mechanism of the hand and wrist, providing critical constraints to the flexor tendons to prevent bowstringing upon contraction and excursion of extrinsic flexor musculo-tendinous units. The first annular pulley (A1 pulley), near the head of the metacarpal bone, lies in the flexor groove in the deep transverse metacarpal ligament. As a general rule, the A1, A3, and A5 pulleys in the fingers are "joint pulleys" that originate from the Palmar plate, volar plate on th ...
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RICE (medicine)
RICE is a mnemonic acronym for the four elements of a treatment regimen that was once recommended for soft tissue injuries: rest, ice, compression, and elevation. It was considered a first-aid treatment rather than a cure and aimed to control inflammation. It was thought that the reduction in pain and swelling that occurred as a result of decreased inflammation helped with healing. The protocol was often used to treat sprains, strains, cuts, bruises, and other similar injuries. The mnemonic was introduced by Dr. Gabe Mirkin in 1978. He took back his support of this regimen in 2014 after learning of the role of inflammation in the healing process. The implementation of RICE for soft tissue injuries as described by Dr. Mirkin is no longer recommended, as there is not enough research on the efficacy of RICE in the promotion of healing. In fact, many components of the protocol has since been shown to impair or delay healing by inhibiting inflammation. Early rehabilitation is now t ...
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Protein
Proteins are large biomolecules and macromolecules that comprise one or more long chains of amino acid residues. Proteins perform a vast array of functions within organisms, including catalysing metabolic reactions, DNA replication, responding to stimuli, providing structure to cells and organisms, and transporting molecules from one location to another. Proteins differ from one another primarily in their sequence of amino acids, which is dictated by the nucleotide sequence of their genes, and which usually results in protein folding into a specific 3D structure that determines its activity. A linear chain of amino acid residues is called a polypeptide. A protein contains at least one long polypeptide. Short polypeptides, containing less than 20–30 residues, are rarely considered to be proteins and are commonly called peptides. The individual amino acid residues are bonded together by peptide bonds and adjacent amino acid residues. The sequence of amino acid residue ...
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Climbing Injuries
Injuries in rock climbing may occur due to falls, or due to overuse (see Sports injury). Injuries due to falls are relatively uncommon; the vast majority of injuries result from overuse, most often occurring in the fingers, elbows, and shoulders. Such injuries are often no worse than torn calluses, cuts, burns and bruises. However, overuse symptoms, if ignored, may lead to permanent damage (esp. to tendons, tendon sheaths, ligaments, and joint capsules). Risk groups The climbers most prone to injuries are intermediate to expert within lead climbing or bouldering. Overuse injuries in climbing In terms of overuse injuries a British study found that: * 40% occurred in the fingers * 16% in the shoulders * 12% in the elbows * 5% in the knees * 5% in the back * 4% in the wrists One injury that tend to be very common among climbers is Carpal tunnel syndrome. It is found in about 25% of climbers. Finger injuries 604 injured rock climbers were prospectively evaluated from January 1998 to ...
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Climbing And Health
Climbing is the activity of using one's hands, feet, or any other part of the body to ascend a steep topographical object that can range from the world's tallest mountains (e.g. the eight thousanders), to small boulders. Climbing is done for locomotion, sporting recreation, and for competition, and is also done in trades that rely on ascension; such as emergency rescue and military operations. Climbing is done indoors and outdoors and on natural (e.g. rock and ice) and artificial surfaces. Professional mountain guides or rock climbing guides (e.g. the UIAGM), were a significant element in developing the popularity of the sport in the natural environment, and remain so today. Since the 1980s, the development of competition climbing and the availability of artificial climbing walls have dramatically increased the popularity of rock climbing as a sport and led to the emergence of professional rock climbers, such as Wolfgang Güllich, Chris Sharma, Lynn Hill and Catherine D ...
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Overuse Injuries
A repetitive strain injury (RSI) is an injury to part of the musculoskeletal or nervous system caused by repetitive use, vibrations, compression or long periods in a fixed position. Other common names include repetitive stress disorders, cumulative trauma disorders (CTDs), and overuse syndrome. Signs and symptoms Some examples of symptoms experienced by patients with RSI are aching, pulsing pain, tingling and extremity weakness, initially presenting with intermittent discomfort and then with a higher degree of frequency. Definition Repetitive strain injury (RSI) and associative trauma orders are umbrella terms used to refer to several discrete conditions that can be associated with repetitive tasks, forceful exertions, vibrations, mechanical compression, sustained or awkward positions, or repetitive eccentric contractions. The exact terminology is controversial, but the terms now used by the United States Department of Labor and the National Institute of Occupational Safe ...
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