Sixty-five rock climbers were radiographically evaluated for osteoarthritis of the finger joints. Only long-time climbers were chosen for this study. The average years of climbing experience of these subjects was 19.8 (range, 8 to 39). The majority of the subjects had climbed at an elite level for many years. Plain radiographs of the hands were scored using the Kellgren-Lawrence scale and were compared with scores of an age-matched control group. An increased rate of osteoarthritis for several joints was found in the climber group; however, no significant difference in the overall prevalence of osteoarthritis was found between the two groups.