Finger pulley injuries are a rare occurrence in the general public but are frequently
encountered by rock climbers.
1
,
2
Injury to the annular ligaments is the most common injury in rock climbers due to
climbers' heavy reliance on finger strength.
3
,
4
,
5
,
6
Rock climbing, historically a niche sport, has become more mainstream as evidenced
by its inclusion in the 2020 summer Olympics in Tokyo, Japan.
7
IOC approves five new sports for Olympic Games Tokyo 2020 - Olympic News.
https://www.olympic.org/news/ioc-approves-five-new-sports-for-olympic-games-tokyo-2020
Date accessed: December 29, 2017
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References
- The use of a graft from the second extensor compartment to reconstruct the A2 flexor pulley in the long finger.J Hand Surg. 2000; 25: 98-101
- Closed flexor pulley injuries in nonclimbing activities.J Hand Surg. 2006; 31: 806-810
- Soft tissue injury in extreme rock climbers.Br J Sports Med. 1988; 22: 145-147
- Pulley injuries in rock climbers.Wilderness Environ Med. 2003; 14: 94-100
- Injury trends in rock climbers: evaluation of a case series of 911 injuries between 2009 and 2012.Wilderness Environ Med. 2015; 26: 62-67
- Pulley ruptures in rock climbers: outcome of conservative treatment with the pulley-protection splint—a series of 47 cases.Wilderness Environ Med. 2016; 27: 211-218
- IOC approves five new sports for Olympic Games Tokyo 2020 - Olympic News.(Available at:)https://www.olympic.org/news/ioc-approves-five-new-sports-for-olympic-games-tokyo-2020Date accessed: December 29, 2017
- Impact of taping after finger flexor tendon pulley ruptures in rock climbers.J Appl Biomech. 2007; 23: 52-62
- Kinetics of crimp and slope grip in rock climbing.J Appl Biomech. 2011; 27: 116-121
- Effect of hold depth and grip technique on maximal finger forces in rock climbing.J Sports Sci. 2012; 30: 669-677
- The influence of the crimp and slope grip position on the finger pulley system.J Biomech. 2009; 42: 2183-2187
JHT Read for Credit
Quiz: # 726
Record your answers on the Return Answer Form found on the tear-out coupon at the back of this issue or to complete online and use a credit card, go to JHTReadforCredit.com. There is only one best answer for each question.
- # 1.Annual pulley injuries are common in
- a.baseball catchers
- b.basketball centers
- c.bank robbers
- d.rock climbers
- a.
- # 2.The authors postulate that
- a.tendon gliding exercises are the key to pulley rehabilitation
- b.the A1 pulley is the most frequently injured pulley
- c.identifying the severity of the injury guides treatment decisions
- d.most pulley injuries require surgery
- a.
- # 3.Pain is scored using
- a.a VAS
- b.a pressure meter
- c.the Squint Sign
- d.a Jump Sign
- a.
- # 4.The end point of AROM testing is
- a.hook fist position
- b.closed crimp grip position
- c.full fist position
- d.quadrigia grip position
- a.
- # 5.Palpation is directly over the A2 pulley
- a.not true
- b.true
- a.
When submitting to the HTCC for re-certification, please batch your JHT RFC certificates in groups of 3 or more to get full credit.
Article info
Publication history
Published online: March 20, 2019
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© 2019 Hanley & Belfus, an imprint of Elsevier Inc. All rights reserved.
