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
Points clés à retenir
- A2 pulley injuries are common search concerns in climbers
- Ultrasound can show dynamic bowstringing
- MRI can show pulley edema and associated soft-tissue injury
Questions fréquentes
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.
Articles connexes
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.
Pathologies associées
Prêt à analyser votre imagerie ? Téléversez votre IRM ou radiographie pour une analyse assistée par IA
Téléversez vos fichiers DICOM d'IRM ou de radiographie pour une analyse privée par IA. 4 modèles analysent indépendamment — toutes vos données restent dans votre navigateur.
Lancer l'analyseAvertissement médical : Cette page est uniquement à des fins informatives et éducatives. Elle ne constitue pas un avis médical, un diagnostic ou un traitement. L'analyse générée par AI peut contenir des erreurs. Consultez toujours un professionnel de santé qualifié pour les décisions médicales. Avertissement complet