Proposal of a specific classification of primary periphyseal stress injuries in adolescent rock climbers

Schöffl V, Iruretagoiena X, Nelson T, Miro P (2025)

Publication Type: Journal article

Publication year: 2025

Journal

Frontiers in Sports and Active Living Frontiers Media

Book Volume: 7

Article Number: 1596624

DOI: 10.3389/fspor.2025.1596624

Abstract

Introduction: Primary Periphyseal Stress Injuries (PPSI) of the hand and fingers are relatively uncommon but are most frequently seen in adolescent rock climbers. A major limitation in the current literature on PPSIs is the lack of a standardized nomenclature and radiological classification. This gap complicates the accurate diagnosis, treatment, and comparison of outcomes across studies. Methods: We conducted a comprehensive structured literature review of the relevant PPSI literature in climbers using Pubmed, SPORTDiscus, and Web of Science to identify the relevant studies on PPSI in adolescent rock climbers. Based on the findings from existing research and our own data, we propose a new classification system for these injuries. Results: A five-grade classification system, with subgroups, has been developed based on both clinical and radiographic data. The classification is presented in a table, along with figures illustrating examples of the various injury types. Conclusion: Additional research is required to assess the reliability and reproducibility of this classification system. We plan to conduct these evaluations in future studies.

Involved external institutions

Sozialstiftung Bamberg DE Germany (DE) University of Deusto / Universidad de Deusto ES Spain (ES) CAMP4 HUMAN PERFORMANCE US United States (USA) (US) University of Utah US United States (USA) (US)

How to cite

APA:

Schöffl, V., Iruretagoiena, X., Nelson, T., & Miro, P. (2025). Proposal of a specific classification of primary periphyseal stress injuries in adolescent rock climbers. Frontiers in Sports and Active Living, 7. https://doi.org/10.3389/fspor.2025.1596624

MLA:

Schöffl, V., et al. "Proposal of a specific classification of primary periphyseal stress injuries in adolescent rock climbers." Frontiers in Sports and Active Living 7 (2025).

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