Acta Scientific Orthopaedics (ISSN: 2581-8635)

Case Report Volume 3 Issue 1

“Osgood Schlatter of the Finger” – A Case Report of Apophysitis of the Proximal Inter-Phalangeal Joint of the Finger and Review of Injuries in Adolescent Climbers

Jeannette Wen Ching Ting1,2, Tatiana Jacomel1, Tommy R Lindau3 and Kerstin Oestreich1*

1Department of Plastic Surgery, Birmingham Women’s and Children’s Foundation Trust Hospital, United Kingdom

2Department of Plastic and Reconstructive Surgery, Department of Surgery, Monash Health, Australia

3The Pulvertaft Hand Centre, University Hospital Derby Burton, Derby, UK

*Corresponding Author: Kerstin Oestreich, Department of Plastic Surgery, Birmingham Women’s and Children’s Foundation Trust Hospital, United Kingdom.

Received: November 25, 2019; Published: December 24, 2019

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Abstract

  Competitive climbing results in repetitive weight bearing on flexed proximal inter-phalangeal joints (PIPJ) resulting in chronic micro-trauma and risk of long-term severe injuries. Children are not immune to its effects.

  We report a case of a 13-year-old boy who presented to our hospital with bilateral swollen PIPJ to both middle fingers and radiographic signs of severe apophysitis and physical fractures. This was attributed to his competitive climbing. The patient was advised to completely rest from climbing as the injuries were too severe to treat in any other way.

  We have reviewed the literature regarding climbing injuries in adolescents and present general guidelines how to manage these increasing and potentially life-changing injuries.

Keywords: Apophysitis; Climbers; Adolescent Climbers; Physeal Fractures; Epiphysis

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References

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  2. AS Desaldeleer and D Le Nen. “Bilateral fracture of the base of the middle phalanx in a climber: Literature review and a case report”. Orthopaedics and Traumatology: Surgery and Research 102.3 (2016): 409-411.
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  9. P Peters. “Orthopedic problems in sport climbing”. Wilderness and Environmental Medicine 12 (2001): 100-110. 
  10. T Hochholzer and VR Schöffl. “Epiphyseal fractures of the finger middle joints in young sport climbers”. Wilderness and Environmental Medicine 16.3 (2005): 139-142. 
  11. F Hahn., et al. “Physiological bone responses in the fingers after more than 10 years of high-level sport climbing: Analysis of cortical parameters”. Wilderness and Environmental Medicine 23.1 (2012): 31-36. 
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Citation

Citation: Kerstin Oestreich., et al. "“Osgood Schlatter of the Finger” – A Case Report of Apophysitis of the Proximal Inter-Phalangeal Joint of the Finger and Review of Injuries in Adolescent Climbers".Acta Scientific Orthopaedics 3.1 (2020): 10-14.




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