title: [Pulley injuries in sport climbers].
abstract: The closed traumatic rupture of finger flexor tendon pulleys in rock-climbers represents a new complex finger trauma first observed in the mid 1980s. While initially the diagnostic and therapeutic approaches varied, nowadays a standard proceeding is being applied. After clinical suspicion and eliminating the possibility of a fracture by normal radiographs, pulley strains as well as singular or multiple pulley ruptures can be diagnosed using ultrasound. If the ultrasound fails to give a definitive diagnosis, an MRI should be performed. In the case of a singular rupture, a conservative treatment with initial immobilisation and early functional therapy is indicated. In the case of a multiple pulley rupture, a surgical reconstruction is mandatory. We favour the "loop and a half" technique of Widstrom and colleagues 1989 and, alternatively, the Weilby repair 1978. Post-operative initial immobilisation and early functional treatment under external pulley protection should be performed.
authors.affiliation: II. Chirurgische Klinik, Klinikum Bamberg. volker.schoeffl@t-online.de
authors.forename: V
authors.initials: V
authors.lastname: Schöffl
authors.forename: T
authors.initials: T
authors.lastname: Hochholzer
authors.forename: H-P
authors.initials: HP
authors.lastname: Winkelmann
authors.forename: I
authors.initials: I
authors.lastname: Roloff
authors.forename: W
authors.initials: W
authors.lastname: Strecker
mesh_terms: D000328:Adult; D002370:Casts, Surgical; D005383:Finger Injuries / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology / Q000601:surgery / Q000628:therapy; D006801:Humans; D007103:Immobilization; D015601:Injury Severity Score; D008279:Magnetic Resonance Imaging; D008297:Male; D009051:Mountaineering / Q000293:injuries*; D011859:Radiography; D012421:Rupture; D013708:Tendon Injuries / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology / Q000601:surgery / Q000628:therapy; D013710:Tendons / Q000502:physiology; D014463:Ultrasonography
vernacular_title: Verletzungen des Ringbandapparates bei Sportkletterern.