¨¹berlastungsbedingte Knochenmark?deme der Hand bei Sportkletterern

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• 作者：Thomas Hochholzer ; Thomas Bayer ; G¨¹nther Straub ; Volker Sch?ffl
• 关键词：Bone marrow edema ; osseous edema ; sport climbing ; rock climbing ; stress fracture ; bone bruise
• 刊名：Sport-Orthopädie - Sport-Traumatologie - Sports Orthopaedics and Traumatology
• 出版年：2013
• 出版时间：September, 2013
• 年：2013
• 卷：29
• 期：3
• 页码：219-224
• 全文大小：754 K

文摘

| Figures/TablesFigures/Tables | ReferencesReferences<h3 class=""h3"">Summaryh3><h4 class=""h4"">Backgroundh4>Sport climbers strain the passive and active anatomical structures of their hands and fingers to their maximum when training as well as in competitions.<h4 class=""h4"">Materials and Methodsh4>

For 17 high level climbers with diffuse pain in the hand and wrist joint, we ran MRI with standard sequences.<h4 class=""h4"">Resultsh4>

In 12 patients the MRI revealed osseous edema due to overload at the respective area of interest, mainly in the distal radius, the distal ulna or the carpal bones, which could not be identified as other diagnoses such as inflammations, tumors or injuries. We classified those edema as due to overload.<h4 class=""h4"">Conclusionsh4>

The edema resulted as a stress reaction to highly intensive training and climbing, with presumably high traction to the wrist area. The therapy of choice consisted of consequent stress reduction and a break from sporty activity. The control MRIs demonstrated that even with a consequent stress reduction these edema need 3 to 4 months to disappear completely. Climbers with diffuse pain in wrist and fingers should be examined with MRI and the posing of the question of a bone edema.<h4 class=""h4"">Level of Evidenceh4>

¡°Case series¡± mit Evidenzlevel III-IV.