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-
1.
Killian, RB, GS Nishimoto, and JC Page. :Foot and ankle injuries related to rock climbing: the role of footwear. .JAPMA 88::365. ,1998. .
-
2.
Gerdes, EM, JW Hafner, and JC Aldag. :Injury patterns and safety practices of rock climbers. .J Trauma 61::1517. ,2006. .
-
3.
Bollen, SR . :Soft tissue injury in extreme rock climbers. .Br J Sports Med 22::145. ,1988. .
-
4.
Maitland, M . :Injuries associated with rock climbing. .J Orthop Sports Phys Ther 16::68. ,1992. .
-
5.
Rooks, MD, RB Johnston III, CD Ensor, et al. :Injury patterns in recreational rock climbers. .Am J Sports Med 23::683. ,1995. .
-
6.
Jones, G, A Asghar, and DJ Llewellyn. :The epidemiology of rock-climbing injuries. .Br J Sports Med 42::773. ,2008. .
-
7.
Nelson, NG and LB McKenzie. :Rock climbing injuries treated in emergency departments in the U.S., 1990–2007. .Am J Prev Med 37::195. ,2009. .
-
8.
Wyatt, JP, GW McNaughton, and PT Grant. :A prospective study of rock climbing injuries. .Br J Sports Med 30::148. ,1996. .
-
9.
Rohrbough, JT, MK Mudge, and RC Schilling. :Overuse injuries in the elite rock climber. .Med Sci Sports Exerc 32::1369. ,2000. .
-
10.
Peters, P . :Nerve compression syndromes in sport climbers. .Int J Sports Med 22::611. ,2001. .
-
11.
Hicks, JH . :The mechanics of the foot: II. The plantar aponeurosis and the arch. .J Anat 88::25. ,1954. .
-
12.
Phillips, RD and RL Phillips. :Quantitative analysis of the locking position of the midtarsal joint. .JAPA 73::518. ,1983. .
Foot Overuse Diseases in Rock Climbing
An Epidemiologic Study
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Ospedale Ceccarini – U.O. Ortopedia e Traumatologia, Riccione, Italy.
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Background:
Literature examining the incidence of foot diseases in rock climbing is limited to traumatic injuries. We examined a large sample of climbers, assessed the chronic diseases of the foot, and correlated them with foot morphology, shoe type, and type of climbing practiced.
Methods:
Between May 1 and September 30, 2009, 144 climbers (mean age, 31.7 years) were examined to analyze the effect of rock climbing on the various foot diseases found at the time of the evaluation.
Results:
Eighty-six percent of the climbers were affected by a pathologic condition. Nail disease was found in 65.3% of patients, followed by recurrent ankle sprains (27.8%), retrocalcaneal bursitis (19.4%), Achilles tendinitis (12.5%), metatarsalgia (12.5%), and plantar fasciitis (5.6%). Male sex, the use of high-type shoes, the high degree of climbing difficulty, and the competitive level were often related to the onset of foot diseases. Climbing shoes are usually smaller than common footwear. This “shoe-size reduction” averaged 2.3 sizes, forcing the foot into a supinated and cavus posture that favors lateral instability. The posterior edge of the shoe aperture produces increased pressure on the heel, with retrocalcaneal bursitis.
Conclusions:
Overuse foot diseases related to rock climbing are particularly frequent and debilitating. Detailed knowledge of these diseases and their predisposing factors may help us implement effective preventive or therapeutic measures, including changes in the type of climbing, correction of body weight, degree of difficulty, footwear, orthoses, and measures that maximize the support of the foot to the ground. (J Am Podiatr Med Assoc 103(2): 113–120, 2013)
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