{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T10:36:55Z","timestamp":1770806215609,"version":"3.50.0"},"reference-count":21,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2020,1,28]],"date-time":"2020-01-28T00:00:00Z","timestamp":1580169600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Finger growth plate injuries are the most common youth climbing injuries. The purpose of our study was to understand youth awareness of the most common youth climbing injury and safe training practices. We surveyed climbers, ages eight to 18 years old, at the 2017 USA Climbing Sport and Speed Youth National Championships. A total of 267 climbers completed the survey (mean age = 14 \u00b1 2.7 years; 52% male). The A2 pulley injury was reported as the most common youth climbing injury by the largest portion of participants, 36%. The second most commonly identified injury was at the growth plate of the finger, 15% of participants, which was reported as significantly less than the A2 pulley injury, p &lt; 0.001. Six percent of climbers reported the correct safe age to start double dyno campus board training. Roughly 18% of athletes identified growth plate injuries exclusively as a stress fracture, whereas 29.2% of those climbers self-reported as informed about finger growth plate injuries, but only 7.4% of climbers who self-reported as uninformed answered this question correctly. Misperceptions about skeletally-immature climbing injuries are prevalent amongst youth climbers. Education on the prevalence of finger growth plate injuries and the scarcity of A2 pulley injuries in youth climbers can increase diagnostic accuracy, improve care, and reduce long-term complications.<\/jats:p>","DOI":"10.3390\/ijerph17030812","type":"journal-article","created":{"date-parts":[[2020,1,28]],"date-time":"2020-01-28T09:37:09Z","timestamp":1580204229000},"page":"812","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Are Adolescent Climbers Aware of the Most Common Youth Climbing Injury and Safe Training Practices?"],"prefix":"10.3390","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3115-8201","authenticated-orcid":false,"given":"Rachel N.","family":"Meyers","sequence":"first","affiliation":[{"name":"Physical Therapy Division, Duke University School of Medicine, Durham, NC 27710, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven L.","family":"Hobbs","sequence":"additional","affiliation":[{"name":"Department of Integrative Physiology, University of Colorado Boulder, Boulder, CO 80309, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David R.","family":"Howell","sequence":"additional","affiliation":[{"name":"Sports Medicine Center, Children\u2019s Hospital Colorado, Aurora, CO 80045, USA"},{"name":"School of Medicine, University of Colorado Hospital, Aurora, CO 80045, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aaron J.","family":"Provance","sequence":"additional","affiliation":[{"name":"Sports Medicine Center, Children\u2019s Hospital Colorado, Aurora, CO 80045, USA"},{"name":"School of Medicine, University of Colorado Hospital, Aurora, CO 80045, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2020,1,28]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1136\/bjsports-2013-093299","article-title":"Overuse injuries and burnout in youth sports: A position statement from the American Medical Society for Sports Medicine","volume":"48","author":"DiFiori","year":"2014","journal-title":"Brit. J. Sport Med."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1097\/JSM.0b013e3182218f71","article-title":"Sports-related injuries in youth athletes: Is overscheduling a risk factor?","volume":"21","author":"Luke","year":"2011","journal-title":"Clin. J. Sport. Med."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"298","DOI":"10.1136\/bjsm.2010.081984","article-title":"Osteoarthritis as an outcome of paediatric sport: An epidemiological perspective","volume":"45","author":"Caine","year":"2011","journal-title":"Brit. J. Sport. Med."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"1122","DOI":"10.1016\/j.joca.2015.02.021","article-title":"Outcomes associated with early post-traumatic osteoarthritis and other negative health consequences 3\u201310 years following knee joint injury in youth sport","volume":"23","author":"Whittaker","year":"2015","journal-title":"Osteoarthritis Cartilage"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1016\/j.berh.2019.01.017","article-title":"Youth sport: Friend or foe?","volume":"33","author":"McKay","year":"2019","journal-title":"Best Prac. Res. Cl. Rh."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1080\/15438627.2018.1438278","article-title":"Pediatric and adolescent injury in rock climbing","volume":"26","author":"Lutter","year":"2018","journal-title":"Res. Sport. Med."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1","DOI":"10.5195\/jyd.2016.444","article-title":"Indoor competition climbing as a context for positive youth development","volume":"11","author":"Garst","year":"2016","journal-title":"J. Youth Develop."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1580\/PR15-04.1","article-title":"Epiphyseal fractures of the finger middle joints in young sport climbers","volume":"16","author":"Hochholzer","year":"2005","journal-title":"Wilderness Environ. Med."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"1521","DOI":"10.1007\/s00256-013-1694-4","article-title":"Epiphyseal stress fractures of finger phalanges in adolescent climbing athletes: A 3.0-Tesla magnetic resonance imaging evaluation","volume":"42","author":"Bayer","year":"2013","journal-title":"Skeletal Radiol."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"852","DOI":"10.1136\/bjsm.2007.034827","article-title":"Physiological responses to rock climbing in young climbers","volume":"41","author":"Morrison","year":"2007","journal-title":"Brit. J. Sport. Med."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1016\/j.wem.2014.08.013","article-title":"Injury trends in rock climbers: Evaluation of a case series of 911 injuries between 2009 and 2012","volume":"26","author":"Popp","year":"2015","journal-title":"Wilderness. Environ. Med."},{"key":"ref_12","first-page":"27","article-title":"Epiphyseal stress fractures in th fingers of adolescents: Biomechanics, Pathomechanism, and Risk Factors","volume":"3","year":"2015","journal-title":"Europ. J. Sport. Med."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"1688","DOI":"10.1177\/0363546503262805","article-title":"Radiographic changes in the hands and fingers of young, high-level climbers","volume":"32","author":"Hochholzer","year":"2004","journal-title":"Am. J. Sport. Med."},{"key":"ref_14","first-page":"7","article-title":"Finger injuries of young elite rock climbers","volume":"50","author":"Schlegel","year":"2002","journal-title":"Sportmedizin und Sportraumatologie"},{"key":"ref_15","first-page":"100","article-title":"Finger epiphyseal injuries of juvenile sport climbers","volume":"13","author":"Hochholzer","year":"1997","journal-title":"Sport Ortho. Trauma."},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"Bollen, S. (1990). Injury to the A2 pulley injury in rock climbers. J. Hand Surg., 268\u2013270.","DOI":"10.1016\/0266-7681_90_90135-Q"},{"key":"ref_17","first-page":"35","article-title":"Approche d\u2019une nouvelle pathologie de la main lie\u2019e\u2019a la prarique de l\u2019escalade","volume":"2","author":"Cartier","year":"1985","journal-title":"J. Sport Traumatol."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"1369","DOI":"10.1097\/00005768-200008000-00002","article-title":"Overuse injuries in the elite rock climber","volume":"32","author":"Rohrbough","year":"2000","journal-title":"Med. Sci. Sport Exerc."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"848","DOI":"10.2466\/pms.1990.71.3.848","article-title":"Perceptions of athletic injuries by athletes, coaches, and medical professionals","volume":"71","author":"Crossman","year":"1990","journal-title":"Percept. Mot. Skills."},{"key":"ref_20","first-page":"1","article-title":"High school athletes\u2019 perceptions of concussion","volume":"2","author":"Miyashita","year":"2014","journal-title":"Orthop. J. Sport. Mede."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"404","DOI":"10.1093\/biomet\/26.4.404","article-title":"The use of confidence or fiducial limits illustrated in the case of the binomial","volume":"26","author":"Clopper","year":"1934","journal-title":"Biometrika"}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/17\/3\/812\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,13]],"date-time":"2025-10-13T13:20:47Z","timestamp":1760361647000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/17\/3\/812"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1,28]]},"references-count":21,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2020,2]]}},"alternative-id":["ijerph17030812"],"URL":"https:\/\/doi.org\/10.3390\/ijerph17030812","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,1,28]]}}}