Therapy of injuries of the pulley system in sport climbers

Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Mikrochirurgie der Peripheren Nerven und Gefässe : Organ der Vereinigung der Deut
Volker SchöfflWolf Strecker

Abstract

Closed traumatic ruptures of finger flexor tendon pulleys are frequent in rock climbing. The objectives of this study were to characterise this injury and to formulate diagnostic and therapeutic guidelines. An algorithm and a grading system are analysed for validation. 122 pulley injuries were prospectively evaluated. After standard radiographs, a dynamic ultrasound examination was performed in all climbers. In ten cases an additional MRI was necessary. All patients were classified according to the pulley injury score. Grade I-III injuries received conservative and grade IV injuries received operative therapy. 88 patients were re-evaluated, including all grade IV patients. 48 climbers had pulley strains, and 74 had ruptures (a single rupture in 90.5 % of the cases and multiple ruptures in 9.5 %). According to the pulley-injury-score, 39 % were grade I, 25 % were grade II, 30 % were grade III and 6 % were grade IV injuries. 115 patients underwent conservative therapy, of which 81 were re-evaluated. 8/81 complained three months after the injury about consistent pain, mostly caused by tendinitis. All grade IV injuries underwent surgical reconstruction, in two cases through Weilby's repair, in three cases through the "loop and a ha...Continue Reading

Citations

Jan 3, 2012·The Journal of Hand Surgery·V SchöfflI Schöffl
Sep 4, 2015·Der Orthopäde·M F LangerB Wieskötter
Feb 21, 2006·Journal of Biomechanics·Isabelle RoloffFranck Quaine
May 20, 2015·Der Unfallchirurg·K-J PrommersbergerK Kalb
Sep 14, 2010·Wilderness & Environmental Medicine·Volker SchöfflIsabelle Schöffl
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Jun 23, 2007·Journal of Applied Biomechanics·Isabelle SchofflVolker Schoffl
Nov 11, 2019·Der Orthopäde·Volker SchöfflChristoph Lutter
May 11, 2021·Wilderness & Environmental Medicine·Paulo H MiroVolker Schöffl
Sep 29, 2021·Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Mikrochirurgie der Peripheren Nerven und Gefässe : Organ der Vereinigung der Deut·Polina DimitrovaMarion Mühldorfer-Fodor

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