The “Heel Hook”—A Climbing-Specific Technique to Injure the Leg

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Presentation transcript:

The “Heel Hook”—A Climbing-Specific Technique to Injure the Leg Volker Schöffl, MD, PhD, MHBA, Christoph Lutter, MD, Dominik Popp, MD Wilderness & Environmental Medicine Volume 27, Issue 2, Pages 294-301 (June 2016) DOI: 10.1016/j.wem.2015.12.007 Copyright © 2016 Wilderness Medical Society Terms and Conditions

Figure 1 A heel hook performed in outdoor bouldering. Wilderness & Environmental Medicine 2016 27, 294-301DOI: (10.1016/j.wem.2015.12.007) Copyright © 2016 Wilderness Medical Society Terms and Conditions

Figure 2 Injury distribution. Wilderness & Environmental Medicine 2016 27, 294-301DOI: (10.1016/j.wem.2015.12.007) Copyright © 2016 Wilderness Medical Society Terms and Conditions

Figure 3 Proximal hamstring tendon tear. Note the seperated tendon insertion to the tuber ischiadicum (arrow) and the liquid around it. Wilderness & Environmental Medicine 2016 27, 294-301DOI: (10.1016/j.wem.2015.12.007) Copyright © 2016 Wilderness Medical Society Terms and Conditions

Figure 4 (A, B) Stretching of the hamstring muscles for injury prevention and warm up. A mobile hamstring is essential for the flexibility needed in rock climbing. Wilderness & Environmental Medicine 2016 27, 294-301DOI: (10.1016/j.wem.2015.12.007) Copyright © 2016 Wilderness Medical Society Terms and Conditions

Figure 5 Ganglion cyst after hamstring tendon strain due to a heel hook. Note the white fluid cystic formation at the back of the knee, next to the hamstring tendons. Wilderness & Environmental Medicine 2016 27, 294-301DOI: (10.1016/j.wem.2015.12.007) Copyright © 2016 Wilderness Medical Society Terms and Conditions