A2 pulley injury. See below for a video demonstrating how to make the splint.

A2 pulley injury. Click this link to read part 1 of 2. According to the research literature, namely Doctors Volker Schöffl 1, Alex Folkl, and Erik Gerdes, finger injuries are the number one culprit, with A2 pulley injuries being the most common. Rarely these ruptures can also involve the flexor digitorum superficialis (FDS) tendon. Each phase has instructional videos, descriptions, and blog posts to keep you engaged in your rehab. Schöffl has developed a grading system of pulley injuries: Grade I is a pulley strain, Grade II could be an A-2 partial rupture, Grade III a complete rupture and Flexor tendon pulleys represent 33% of all injuries observed during climbing, and in competitive athletes, there is an estimated 19 to 26% incidence of pulley ruptures. A-2 pulley rupture is a tendon injury that affects the flexor digitorum profundus or superficialis of the second or fourth digit. Learn about the A2 pulley, a ligament that connects your flexor tendons to your finger bones, and how it can be damaged by overuse or trauma. You may need to use a splint until the injury heals. Clinical presentation These are overwhelmingly the result of a discrete trauma occurring with the hand in a Jan 26, 2018 · The A2 and A4 are the major pulleys of the system (inserting directly to the bone) and are most prone to injury. See below for a video demonstrating how to make the splint. The A1 and A5 pulleys are rarely injured. A-2 pulley ruptures can involve avulsions of the flexor digitorum profundus (FDP) tendon. Jun 3, 2020 · A2 pulley rehab, education on injury, anatomy, prevention, and more. 15 16 Patients describe . In Part 1 of this article, we discussed the anatomy of finger pulleys, the biomechanics behind our flexor tendon/pulley system, and the implications these factors have on our climbing. 12 13 The most commonly injured sites are the middle and the ring fingers, 14 with the A2 pulley being the most frequently damaged pulley followed by A4. Mar 21, 2024 · A finger pulley injury is an unusual problem that occurs in rock climbers and some other athletes. So these are the tape jobs that are recommended to improve bone-tendon distance in a climber who has a pulley sprain. Nov 22, 2024 · Type III - triangular/oblique Av pulley with fibers converging to radial side A2 pulley (5-10mm) contributes least to arc of motion of thumb if A2 is intact, cutting A1 or oblique pulley will not result in bowstringing Mar 28, 2024 · Finger pulley injuries can occur at any one of the five flexor tendon pulleys of the fingers, but most commonly affects the A2 pulley. This step-by-step, interactive program is designed specifically for rock climbers to make a full recover from a mild, moderate, or severe A2 pulley finger injury. Learn about the pathophysiology, anatomy, grading system, imaging, and surgical options for this condition. The A1, A3, and A5 pulleys are more flexible and attach to the volar plate, a ligament that connects two phalanges together. Increasingly severe pulley injuries follow a predictable pattern, with A2 ruptures progressing from partial to complete, and with more severe injuries then involving the A3 pulley and subsequently the A4 pulley. But a more aggressive way to improve bone-tendon distance even further is Unload Level 4, a pulley protection splint. 2–4 In this two-part article, I’d like to shed some light on: What is a finger pulley? What forces are placed on pulleys while climbing? This is part 2 of 2 in an article series on pulley injuries. The most common injury in climbers is the A2 pulley sprain or rupture and is caused by overloading the tissue. Designed for climbers. 1 Cases typically involve the second or fourth digit. In effect, this then unloads A2 and A4. Find out how to prevent, diagnose, and treat A2 pulley injuries with physical therapy, splints, or surgery. lczk xhnf yknucymd npq bzxmqh aoj ovsndue qelsqy mayhjm raode