Diversified Radiology
Speak to a Radiologist Anytime:

Finger: A2 Pulley Tear with Interposition

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


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.