Case Study: The Athlete That Climbed Through Fracture.





A little prequel.


Ashley, a medical provider herself, came in two months after fracture. When asked about how she was injured, she said she had been climbing, did a reachy side pull, and during a crucial weight transfer, she lost her core strength and her foot popped off its hold. In doing so, she had wrenched the hand that was doing the side pull and felt (and heard) a pop followed by immediate pain and swelling. A similar story to the usual pulley tendon injury; she was in horrific pain. But of course not enough to keep from climbing on it.


A later X-Ray by her family physician showed a fracture (though it was not discussed what type or where its location was in respect to the joint line) and it was guessed that she had a moderate to severe pulley injury. Ashley was then told to take 6 weeks off though she said that the pain was bearable, and she climbed on it gingerly anyway. She then began climbing aggressively on it again at the two month mark only to find that it still was bothering her to weight the affected joint; thus bringing her into my office. This athlete made a variety of self-care mistakes from which we can learn together as a group.


First off, Ashley’s X-ray did not show a pulley tendon injury, it couldn’t. Only visible on MRI or Diagnostic Ultrasound, the x-ray was merely to rule out