Clinical: 51 y/o male s/p work related injury.
Dx: Complete tear of the A2 pulley with interposition of the radial/lateral pulley fibers between the flexor tendons and the phalanx shaft. These specific pulley lesions are at significant risk for non-healing and poor outcomes without surgical intervention.
Read Journal of Hand Surgery Article
Read Pulley Injuries in Rock Climbers Article
References:
1. Schoffl V, Schoffl I. J Hand Surg: 2006 – vol. 31A, pp. 647-654.
2. Schoffl V, Hochholzer T, Winkelmann H P, Strecker W. Wilderness and Environmental Medicine: 2003 – vol. 14, pp. 94-100.