Trip Report
Nutracker TR - Dislocated my shoulder climbing this thing
Tuesday October 12, 2010 5:56pm
Last Saturday I wanted to take my girlfriend Joyce up the Nutcracker. I had taken her up After Six a couple of weeks before that so she wanted to try a 5.8 route to see how she liked it.

I'd led Nutcracker pitches 1, 3 and 5 about a month before and I loved it so figured she would too. Climbed it pretty well, in my opinion, or so I thought.

Well, when we got there around 9:30am there were already two parties on it. We sat back and watched the first girl struggle on the first move and take forever on the first pitch. Then the next party started up and the guy went reasonably fast. His girlfriend went up and slipped and fell on the tree banging her knee. Ouch I thought. That had to hurt a little. Poor girl was wearing a heavy backpack.

Finally, I got antsy and said, screw it, I'm going. I remember thinking I wouldn't even place pro until the tree but then I didn't want to be too cocky and so I placed pro right before the first step up high. I was moving along, not too fast and not too slow. I placed a tricky, insecure nut in a little notch above the tree just to hold me.

Then I moved into the lieback. It felt familiar, but the rock was pretty slick. But I kept moving up, placing gear and felt confident. I got to about 7 feet below the corner where it turns right into the 1st belay ledge. I placed my yellow master cam #4 in the crack and took a quick breath. Then I just moved up, placed my right hand over the edge, then my left hand...then POP! I was flying backwards, sliding down the wall on my left side. Then I wasn't stopping..."take, Take, TAKE!!!" I yelled. Finally, I stopped. I looked up and I was below my 3rd piece. These guys over on C.S. Concerto yelled out, "man, are you alright?" I said, yea, I'm ok.

Wow, i fell pretty far, I thought. I tried to move my left arm and it made this nasty, crunchy sound and right away I knew I had dislocated it. First I was pissed. How the f'k did I do that? I just slid 20 feet, how am I gonna dislocate my shoulder on a f'n 5.8 move??

I moved it once more, it was definitely dislocated. Instinctively I grabbed my left hand, raised it in front of me and pulled it outwards. "POP." It slipped back in. I moved it a bit, and it felt solidly in place again. I looked down and Joyce and yelled, "what happened, babe?" She was stunned, too.

So I swung back over to the corner, climbed back up to the last piece and then paused. "Babe, watch me!" I pulled it the move again and then leaned on the wall for a moment and caught my breath. The girl in front of me asked, "did you fall??" Yea, and I dislocated my shoulder...AGAIN.

When I got to the 2nd belay ledge and brought Joyce up, we just hung out because the first two parties were still on the third and fourth pitch.

I was a little shaken up but I didn't think I needed to get down. I was a little hesitant on the 3rd pitch lieback moves and Joyce yelled, "are you ok?" a few times. I guess just a bit gun shy after that whipper...my first big whipper. But I got up the damn thing and I finished it.

I wasn't sure how I was going to pull the mantle, but I did it, with a backpack, because Joyce was tired. When I summitted, the guys who had seen the fall were up there too. They asked if I was ok, I said yea, but I dislocated my shoulder. Oh shit! Do you need a doctor or something? No, I said. I popped it back in, I feel alright. They said, wow, dislocated your shoulder and still finished the climb.

"Thanks, I guess I didn't have much choice."

The real pain set in once I got down to the parking lot. We had planned on climbing on Sunday also, but I figured it would hurt worse the next day and I'd rather sleep in comfort. I was right. It hurt like hell.

I went to the doctor Monday and he xrayed it. No fractures, no torn ligaments. He says the capsule is probably stretched and the arm needs to stay demobilized for at least 4 weeks. Just in time for JTree? I hope.

I am not doing surgery, even though the doctor suggested it. But I guess after my first dislocation, I kept my rotator cuff strong because the doctor couldn't believe it wasn't worse.

Any suggestions on speeding the recovery of this thing?

---------------


Oh, while we're on the subject of Nutcracker, there were two parties simulclimbing this route.

The first one came up as we were hanging on the big ledge before the start of the 3rd pitch. He asked if he could pass us, and having just waited for 2 very slow parties to go and also peeling and nearly killing myself, I said, "i'd rather not." I hope you understand. He got all pissy, and then when his girlfriend came up he said, "these people...won't let us pass..." Then he said, "no, I'm sorry, i'm going man...we'll be done with this climb in like 2 minutes."

Well, excuse me. You are speed simulclimbing the Nutcracker! Training for El Cap or something? You are a bad ass, man! Then the next pair came up and they had finished in about an hour, they passed Joyce while she was belaying me on the mantle.

Ok, I was just a little bitter due to the fact, but seriously. It's Nutcracker.

Anyway, I was also really proud of Joyce. She's 5'0" tall and she pulled the mantle. I was impressed.

I don't have pics of this ascent, but I do have pics of my first ascent I can post if anyone's interested, but I'm sure you've all seen this route a million times.

Again, any ideas on how to speed the recovery and how to tighten up the capsule of the joint would be appreciated.

  Trip Report Views: 2,659
Mason
About the Author
Mason is a trad climber from Yay Area.

Comments
cleo

Social climber
wherever you go, there you are
  Oct 12, 2010 - 06:03pm PT
Ouch! Can't believe you finished it = OUCH!

Those simul-climbers sound like a*holes...
Mighty Hiker

climber
Outside the Asylum
  Oct 12, 2010 - 06:15pm PT
Good heavens! First it's Dave, breaking his ankle half way up the Northwest Face of Half Dome, finishing anyway, and hobbling all the way back to the Valley, refusing help en route. (http://www.supertopo.com/climbers-forum/1282360/Took-the-whipper-ended-badly-TR); And now you. Is this some sort of weird competition? :-)

OK, joking aside, a stout effort. Even if you don't have photos.

I had a dislocating shoulder, and eventually had surgery, which pretty much cured it. The difficulty with these joint injuries (sprained ankles, dislocated shoulders, etc) is that they tend to cause permanent damage, even once they seem to have healed. The ligaments never get as snug as they were. Which is why shoulders, once dislocated, often slowly become more susceptible.

Probably your best bet is to see a good physiotherapist, be very clear with her/him as to your goals and expectations, and follow whatever regime is prescribed. Strength, flexibility, other exercises. I found swimming very helpful, and circuit training.

It's possible that you have loose ligaments, in which case you may have to bite the bullet and have surgery now, rather than doing rehab and hoping that it will do the job.

From a first aid perspective, you should also learn what you can about treating and reducing dislocations in the field, in case it recurs. Sometimes they relocate themselves, or can with a bit of help, although often it takes more effort.
nutjob

Sport climber
Almost to Hollywood, Baby!
  Oct 12, 2010 - 06:47pm PT
I hope the shoulder heals up well. Take time to do it right, so you're not telling folks about your trick shoulder before you hit 40.

On the passing thing....

Has it always been this way, or is the lack of passing etiquette a new thing? Was there ever a time when "no really means no" without needing to threaten a nutslap and yanking their gear?
nutjob

Sport climber
Almost to Hollywood, Baby!
  Oct 12, 2010 - 06:48pm PT
About that shoulder thing... maybe you can be like Mel Gibson in lethal weapon and start betting people you can escape from a straight jacket?
Prod

Trad climber
  Oct 12, 2010 - 06:53pm PT
What with the girlfriend and a bad belay, then 2 groups of simu climbers passing you, I thought I was reading a troll. Way to stick to it and not lose your cool!

Glad most days aren't like that!!!

Cheers,

Prod.
Zander

climber
  Oct 12, 2010 - 06:58pm PT
Ouch! I took my first leader fall on the Nutchracker, on the bulge on P4. It's been about ten years but I remember as well the exit move from the 5.8 lieback where you fell. I thought it was the hardest move. Heal up quickly.
Simulclimbing on the Nutchracker with three parties ahead of them! What jerks. What makes them so special!
Zander
Inner City

Trad climber
Portland, OR
  Oct 12, 2010 - 07:06pm PT
Love Nutcracker, but wanted to comment on the shoulder dislocation. I have had multiple dislocations in the past and got the Bankhardt procedure done on my shoulder, which then popped out again less than a year later.

I would not do the surgery unless there is something newer than that Bankhardt (sp?) thing which was developed in the frickin 1930s and doesn't get the job done in my impression.

My real advice is change your behaviour to avoid getting into positions where the shoulder is vulnerable (arm overhead.) This has worked for me, but I must admit I"m a pretty feable climber now--which may be a separate issue.

Way to persevere on that thing. And, what is with the passing parties? No respect out there anymore.
Mighty Hiker

climber
Outside the Asylum
  Oct 12, 2010 - 07:11pm PT
I had something called a Magnuson-Stack Repair, which seems to have been developed in the mid 1940s, and modified in the 1960s.
http://web.jbjs.org.uk/cgi/reprint/69-B/1/111.pdf
donini

Trad climber
Ouray, Colorado
  Oct 12, 2010 - 07:20pm PT
Heal up fast. I'm just back from a week in Yosemite and I am blown away by the fact that soooo many people do the same few routes, an extraordinary example of herd mentality. I did a couple of great multi pitch routes without another climber in sight. There is a lot of rock in the Valley, people need to explore more.
Prod

Trad climber
  Oct 12, 2010 - 07:37pm PT
Why are you yelling at us Riley?
bluering

Trad climber
Santa Clara, CA
  Oct 12, 2010 - 07:40pm PT
Bummer, dude! But you took it like a man. Way to persevere.

You better come to Jtree too! Even if you just take it easy on easier slabs.

Glad to see you doing all the climbing you've been doing lately. Don't make the mistake of getting TOO cocky though. I haven't been getting in too much lately.

Heal up!!!
Mason

Trad climber
Yay Area
Author's Reply  Oct 12, 2010 - 07:47pm PT
Thank you for all of the comments.

I guess I really didn't want to believe that I had dislocated it again so I chose not to think about it. I was really pissed at myself for letting it happen...especially on a 5.8 route.

Nutjob, the Mel Gibson comment cracked me up. One of my friends was teasing me about that the first time it happened.

Prod, yea it was a tough week. The week before we got dumped on with waterfalls, rocks and branches while on El Cap and had to bail on ANOTHER 5.8 route. Some kind of weird sign?

Zander, that exit move is pretty icy slick. I have promised to go back and do the 1st pitch again in order to get over my failure and reset my confidence.

Jim, thanks, I will try. I had promised my no0bie girlfriend I'd take her. She's just breaking into multi-pitch so I had to take her on something just at her level which is also fun.

Riley, as soon as I heal up I would definitely climb with you man!

Anders, Inner City, thanks for the feedback on your surgeries. I will ask my ortho about that procedure.

He recommended something called a Capsulorraphy.

http://orthoinfo.aaos.org/topic.cfm?topic=a00034

They heat the tendon and it scars and shrinks down to tighten. That might be something I would be interested in if I could see how many others have had success with it.

Oh, about the loose belay. Joyce weighs 100 lbs, flat. I am around 160 lbs. So when I peeled, i hit hard and she slammed into the wall with her elbow and left side. I should have anchored her, my fault.
Sunshinesmile

Trad climber
San Diego, CA
  Oct 12, 2010 - 08:02pm PT
I am having issues also with my shoulder and was given a list of exercises to do to stregthen my shoulder. Hope you heal up well!!!
Ksolem

Trad climber
Monrovia, California
  Oct 12, 2010 - 09:25pm PT
So if I am reading your story right, you have a doc who is recommending a specific surgical procedure based on viewing an x-ray?

It is pretty much standard procedure on injured shoulders to get a contrast MRI and have it read by a specialist before making any diagnosis or treatment decisions.

Good luck with whatever you decide to do. I had a big rotator cuff job in 2004 and it came out extremely well. It's actually my other one I have to train more now to keep 'em even. The surgified one is stronger naturally.
Mittens

climber
  Oct 12, 2010 - 09:57pm PT
You were getting passed one way or another, why not let them go peacefully? Faster teams have the right of way, PERIOD. Even on the Nutcracker.
Mason

Trad climber
Yay Area
Author's Reply  Oct 12, 2010 - 11:11pm PT
Kris - he talked surgery before he even ordered the xray. He saw my xray and couldn't find any fractures or tears but he said I should at least consult with this other doctor about a capsulorraphy.

What type of surgery did you have done on your rotator cuff and how long before you were healed up and stronger? That's really impressive.

Mittens, Fattrad - The reason I said no was because the two parties ahead of me had taken so much time already I didn't feel like being tied up behind a third party. What's the point of asking if you may pass if you do so even when the party before you says no? The guy never actually climbed the true route because he was scurrying to and fro trying to find another way up and around the other parties. He forced the couple in front of us to set up a hanging belay before the true 4th pitch belay so he could pass them as well. I didn't say anything but the guy needed to get smacked, he was just being rude.

Ksolem

Trad climber
Monrovia, California
  Oct 13, 2010 - 12:30am PT
Mason - This is my rotator cuff viewed through the arthroscope of Dr Neal ElAttrache during surgery:
The repair went well, according to the DR., for two main reasons. One, the injury was largely traumatic, as opposed to degenerative. This means that despite being torn the tissue was healthy and so it would heal well. Secondly, and related, the picture shows no inflammation.

Inflammation is your enemy. I recommend a largely wheat free diet, lots of fish oil, traumeel, and avoid ibuprofin addiction.

Again, good luck! You are young - learn from this and make your shoulders last.
mark miller

Social climber
Reno
  Oct 13, 2010 - 12:42am PT
Sorry about the shoulder Mason and thumbs up on completion.
Radical if you're were climbing with me there wouldn't be any problems....except I yell take alot....
justthemaid

climber
Jim Henson's Basement
  Oct 13, 2010 - 01:16am PT
Wow- amazing yo finished it.

I just did this route for the first time at Facelift. That 1st pitch totally rocks... when you aren't doing the pachinco-ball thing that is. I actually had the most trouble with the 3rd pitch crack. It was totally greasy my shoes just kept sliding like there was Crisco in there and my bum shoulder evidently wasn't as cooperative as your bum shoulder.

Torn rotator cuff and bicep here. Kinda not happy with how the surgery recovery is going 9 months later so I'd say hold off unless it is absolutely necessary. Dislocation may heal on it's own if you didn't tear anything up.
Mighty Hiker

climber
Outside the Asylum
  Oct 13, 2010 - 01:22am PT
Faster teams have the right of way, PERIOD. Even on the Nutcracker.
Rubbish! You choose to climb behind someone else, you live with the consequences. If they're kind enough to let you by, great, but don't assume they will.
ß Î Ø T Ç H

Boulder climber
ne'er–do–well
  Oct 13, 2010 - 03:08am PT
. .. soooo many people do the same few routes .. .There is a lot of rock in the Valley, people need to explore more.

good words, but it ain't gonna happen. not even broaching the subject of new routing in the valley - like the west side of Watkins, something else on Yasoo or clouds rest.
zachshull

climber
San Jose, CA
  Oct 13, 2010 - 03:17am PT
Hey man! My name is Zach Shull and I'm 19. Good job on finishing the climb and good TR. I never caught your name but I was the guy on CS Concerto, that asked if you were okay and also saw you and talked to you on the summit. I'm glad to hear you're okay after you're epic!

Anyways I'll probably see you around in the valley soon. Again, great job!
enjoimx

Trad climber
Yosemite
  Oct 13, 2010 - 03:18am PT
Hahaha funny read.
Dirka

Trad climber
Hustle City
  Oct 13, 2010 - 12:30pm PT
Wow, heal up!
Crimpergirl

Sport climber
Boulder, Colorado!
  Oct 13, 2010 - 12:49pm PT
Ow! I hope it is feeling better today. Take care of yourself and heal up soon!
Mason

Trad climber
Yay Area
Author's Reply  Oct 13, 2010 - 07:08pm PT
Weld-it, you're right. I'm totally not as rad as you are, and I guess I just feel that way because you and everyone else here climb like 5.12d as a warm up.

But seriously, you're talking trash and telling me I'm not hard while posting on a fake/troll/incognito name? Really? (Edit: And 5.8 IS hard. I led Nurdle, I should know!)

Zach, good to hear from you bro! Thanks for making sure I was alright and nice job on finishing C.S. Concerto. Hope I get to do that route soon, too.

Riley, the dislocation happened when I fell. My shoulder has been pretty strong since the first dislocation since I did a lot of rotator strengthening exercises. You're right, I should have placed one more piece.

Skip, that 3rd pitch had me trippin' out because it was also slick and I was worried about peeling there too. Thanks for the advice. My dad has had two rotator cuff surgeries and his shoulder is pretty weak still, but he's also 64 now.

Kris, thanks for the feedback as well. I'm glad your shoulder is better, I hope that I can get mine back to the same level or better. No wheat, though?? That's gonna be tough!
survival

Big Wall climber
Terrapin Station
  Oct 13, 2010 - 01:20pm PT
Mason, dude, heal up and get back out there!

Glad you're ok. Don't worry about weld-it, he's all fun. In fact I heard he's gonna go troll some Brits on UKclimbing.....

I agree with Donini. There's too much rock in the Valley to be sharing Nutcracker with dickweeds. Go explore. The Five Open Books get a lot less traffic than Manure Pile, and that's barely a start!
phylp

Trad climber
Upland, CA
  Oct 13, 2010 - 01:24pm PT
Mason, I hope you heal up soon.

I just don't get the passing thing in this circumstance. I can see a lot of circumstances where you might come upon an obviously slower moving party on a long route and want to pass, and most of the time, both parties won't have a problem with it. But NUTCRACKER! And this was probably a weekend, right?
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