Thomas Hochholzer, MD, Volker Rainer Schöffl, MD

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Epiphyseal Fractures of the Finger Middle Joints in Young Sport Climbers Thomas Hochholzer, MD, Volker Rainer Schöffl, MD Wilderness & Environmental Medicine Volume 16, Issue 3, Pages 139-142 (September 2005) DOI: 10.1580/PR15-04.1 Copyright © 2005 Wilderness Medical Society Terms and Conditions

Figure 1 Fifteen-year-old climber with a Salter-Harris III lesion. Wilderness & Environmental Medicine 2005 16, 139-142DOI: (10.1580/PR15-04.1) Copyright © 2005 Wilderness Medical Society Terms and Conditions

Figure 2 Clinical picture of the patient in Figure 3. Note the axial deviation. Wilderness & Environmental Medicine 2005 16, 139-142DOI: (10.1580/PR15-04.1) Copyright © 2005 Wilderness Medical Society Terms and Conditions

Figures 3 and 4 Magnetic resonance images (T1 and T2) of an early stage of epiphysiolysis. The conventional radiographs demonstrated no pathology. The T1 sequence clearly demonstrates a reduced signal of the epiphysis of the proximal interphalangeal joint in comparison with the MCP joint. The T2 image shows intra-articular effusion in the proximal interphalangeal joint. Wilderness & Environmental Medicine 2005 16, 139-142DOI: (10.1580/PR15-04.1) Copyright © 2005 Wilderness Medical Society Terms and Conditions

Figure 5 Devastating result of 1 of the 2 climbers who continued climbing despite our advice. Wilderness & Environmental Medicine 2005 16, 139-142DOI: (10.1580/PR15-04.1) Copyright © 2005 Wilderness Medical Society Terms and Conditions