title: [Isolated injuries of the pulley of the finger flexor tendon sheath--injuries in extreme climbing sports].
abstract: Injuries of pulleys are quite common in mountain climbing. The clinically diagnosed rupture of a pulley can now be verified by MRI. Partial ruptures, which in MRI always showed as scars, can frequently lead to intrinsic bow-stringing. The injuries were primarily treated non-surgically. With regard to chronic, recurring cases or large ruptures, however, annular ligament plastics have to be considered. As a prophylaxis we recommend special training exercises for climbers on wide ledges with changing exertion patterns and a tape-bandage for the fingers. During climbing, the PIP-joint should best not be strained in an obtuse angle. Warming-up and stretching exercises before climbing are absolutely necessary.
authors.affiliation: Universitäts-Klinik für Unfallchirurgie Innsbruck.
authors.forename: M
authors.initials: M
authors.lastname: Gabl
authors.forename: M
authors.initials: M
authors.lastname: Lener
authors.forename: S
authors.initials: S
authors.lastname: Pechlaner
authors.forename: W
authors.initials: W
authors.lastname: Judmaier
mesh_terms: D001265:Athletic Injuries / Q000175:diagnosis* / Q000601:surgery; D005383:Finger Injuries / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D012421:Rupture; D013708:Tendon Injuries / Q000175:diagnosis* / Q000601:surgery
vernacular_title: Isolierte Ringbandverletzungen im Fingerbereich--Verletzungen des extremen Klettersportes.