Finger pulley injury

Case contributed by Henry Knipe
Diagnosis certain

Presentation

Sudden onset fourth finger pain while rock climbing.

Patient Data

Age: 25 years
Gender: Male
ultrasound

The 4th flexor tendon is intact but is abnormally displaced from the proximal phalanx with a gap of approximately that contains fluid. Thickened A2 pulley with fluid at its expected attachment

Case Discussion

Rock climbing is the classic activity associated with finger pulley injuries with displacement of the flexor tendon a key finding and comparison between fingers helpful in determining which pulley is injured. As in this case, the A2 pulley is the most frequently injured.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.