Anatomical Illustrations

Rock Climbing Hand Injuries

Overview: This series of illustrations was made for the textbook “Climbing Medicine” which details orthopedic hand surgeries and treatments pertaining to common rock climbing hand injuries. This book is printed in both German and English. Climbers face the most risk of injury when an excessive amount of force is placed on the fingers - whether from over-gripping or shock-loading through a slip.

Here, the types of climbing holds and positions that could aggravate the injury are displayed. Many climbers may know about pulley injuries, but may not have heard of tenosynovitis and PIP joint capsulitis, all which can flare up in the hand and fingers.

Client: University of Rostock - Orthopedic Clinic

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Tenosynovitis is the inflammation of the fluid-filled sheath (synovium) which surrounds the finger tendons. This can lead to joint pain, swelling, and stiffness.

Pulley ruptures occurs with a partial or complete tear of the tendon pulley. In the worst case scenarios, with a complete rupture, the tendon bowstrings away from the finger’s bone.

PIP joint capsulitis with joint effusion that causes swelling and pain. PIP stands for proximal interphalangeal phalanx.

PIP joint capsulitis with damage to the collateral ligament in the capsule.

PIP joint capsulitis with damage to the collateral ligament in the capsule.

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