Original Article

Skeletal Injuries and Their Pattern Following Mountaineering and Climbing Accidents in Iranian Athletes

Abstract

The number of mountaineers and climbers has increased over the last few years. Considering the geographical features of Iran, this increase in the number of climbers is more significant in this country. Because of the importance of mountaineering injuries, a comprehensive survey of these injuries is needed. In this base, we designed a survey to investigate skeletal injuries in mountaineering accidents. This cross-sectional study was conducted on athletes from the Mountaineering Federation of Islamic Republic of the Iran (MFIRI) in 2015 and 2016. A total of 110 athletes were included using a simple random sampling method, and they were examined for any complications after skeletal injuries. Their medical records were reviewed. A total of 110 mountaineers completed the checklists, and 15 mountaineers reported a rock-climbing trauma and injury during 2015 and 2016. The most traumatic location was the lower extremities (46.7%). Additionally, most of trauma occurrences were in descent (80%) and times of day between noon and midnight (64.3%). The mean age of the mountaineers who had a trauma incidence was 37.95±8.76 years. Smoking was significantly different between the two groups. Skeletal injuries during mountaineering and rock climbing mostly affect the lower extremities, followed by the upper extremities and spine. There was no significant difference in age, sex or climbing equipment between the group who had an accident and the group who did not. In this study, there was a relationship between smoking cigarettes and an increased incidence of climbing accidents. Longitudinal studies with larger sample sizes are needed to evaluate this relationship.

1. Procter E, Brugger H, Burtscher M. Accidental hypothermia in recreational activities in the mountains: A narrative review. Scand J Med Sci Sports 2018; 28: 2464-72.
2. Pozzi A, Pivato G, Pegoli L. Hand Injury in Rock Climbing: Literature Review. J Hand Surg Asian Pac Vol 2016; 21:13-7.
3. Bowie WS, Hunt TK, Allen HA, Jr. Rock-climbing injuries in Yosemite National Park. West J Med 1988;149: 172-7.
4. Jones G, Asghar A, Llewellyn DJ. The epidemiology of rock-climbing injuries. Br J Sports Med 2008; 42:773-8.
5. Stelzle FD, Gaulrapp H, Pforringer W. [Injuries and overuse syndromes due to rock climbing on artificial walls]. Sportverletz Sportschaden 2000; 14:128-33.
6. EJ. H. Training for Climbing: The Definitive Guide to Improving Your Climbing 2003.
7. Farris M. The altitude experience: Successful trekking and climbing above 8,000 feet. : Globe Pequot Press; 2009.
8. Kordi R, Rostami M, Heidari P, Ameli S, Foroughifard L, Kordi M. Fatalities Among Iranian High-altitude Outdoor Enthusiasts: Causes and Mechanisms. Asian J Sports Med 2012; 3:285-90.
9. Lack DA, Sheets AL, Entin JM, Christenson DC. Rock climbing rescues: causes, injuries, and trends in Boulder County, Colorado. Wilderness Environ Med 2012; 23: 223-30.
10. Mc Donald JW, Henrie AM, Teramoto M, Medina E, Willick SE. Descriptive Epidemiology, Medical Evaluation, and Outcomes of Rock Climbing Injuries. Wilderness Environ Med 2017; 28:185-96.
11. Altarac M, Gardner JW, Popovich RM, Potter R, Knapik JJ, Jones BH. Cigarette smoking and exercise-related injuries among young men and women. Am J Prev Med 2000; 18: 96-102.
12. Anderson LS Jr, Rebholz CM, White LF, Mitchell P, Curcio EP, Feldman JA, et al. The impact of footwear and packweight on injury and illness among long-distance hikers. Wilderness Environ Med 2009; 20:250-6.
Files
IssueVol 61 No 2 (2023) QRcode
SectionOriginal Article(s)
DOI https://doi.org/10.18502/acta.v61i2.12532
Keywords
Mountaineering Injury Trauma Athlete

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Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Abbasi F, Dadgostar H, Vaziri M, Lotfian S. Skeletal Injuries and Their Pattern Following Mountaineering and Climbing Accidents in Iranian Athletes. Acta Med Iran. 2023;61(2):92-96.