Climber's Finger Pain: A2 Pulley Injuries Explained
A guide to A2 pulley injuries in climbers, including bowstringing, MRI and ultrasound findings, grading, and return-to-climbing context.
The A2 pulley holds the flexor tendons close to the proximal phalanx. Climbers stress it heavily in crimp grip. A painful pop, palm-side finger pain, or visible bowstringing may lead clinicians to consider a finger pulley injury.
Imaging Signs of Pulley Injury
- Increased tendon-to-bone distance during resisted flexion
- A2 pulley thickening, edema, discontinuity, or nonvisualization
- Flexor tendon sheath fluid or reactive tenosynovitis
- Multiple pulley involvement when bowstringing is pronounced
Zusammenfassung
- A2 pulley injuries are common search concerns in climbers
- Ultrasound can show dynamic bowstringing
- MRI can show pulley edema and associated soft-tissue injury
Häufige Fragen
Can I keep climbing with a suspected pulley injury?
Return to climbing depends on grade, pain, bowstringing, strength, and clinician or therapist guidance. Imaging can help characterize the injury but does not replace a supervised return-to-load plan.
What does bowstringing mean?
Bowstringing means the flexor tendon lifts away from the bone because the pulley restraint is torn or stretched. It can be measured dynamically with ultrasound or seen on MRI when the separation is large.
Verwandte Artikel
Compare finger X-ray, MRI, and ultrasound for fractures, tendon injuries, pulley tears, ligament injuries, and arthritis.
A patient-friendly guide to hand and finger X-rays, including alignment, phalanx fractures, metacarpal fractures, arthritis, and avulsion fragments.
Verwandte Erkrankungen
Bereit für die Analyse Ihrer Bildgebung? Laden Sie Ihr MRT oder Röntgenbild zur KI-gestützten Analyse hoch
Laden Sie Ihre MRT- oder Röntgen-DICOM-Dateien für eine private KI-Analyse hoch. 4 Modelle analysieren unabhängig — alle Daten bleiben in Ihrem Browser.
Analyse startenMedizinischer Haftungsausschluss: Diese Seite dient nur zu Informations- und Bildungszwecken. Sie stellt keine medizinische Beratung, Diagnose oder Behandlung dar. KI-generierte Analysen können Fehler enthalten. Konsultieren Sie für medizinische Entscheidungen immer qualifiziertes medizinisches Fachpersonal. Vollständiger Haftungsausschluss