Climber’s Pulley Injuries

  • François MoutetEmail author
  • M. Bouyer
  • Denis Corcella
  • Alexandra Forli
  • Alessandro Semere
Part of the In Clinical Practice book series (ICP)


Handgrip techniques in modern rock climbing generate climbing-related injuries especially at the tendon sheath level. The most frequent injury is an A2 pulley rupture. The end result is bowstringing of the flexor tendon and may be confirmed by imaging. Surgery when required is usually an extensor retinaculum graft to reconstruct the ruptured pulley. Surgery often results in a satisfactory outcome, and patients usually return to their previous climbing performance. Further education of the patient about the injury and simple measures of warm-up may prevent recurrence of injury.


Climber Pulley injuries Pulley rupture Flexor tendon sheath A2 pulley 


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • François Moutet
    • 1
    Email author
  • M. Bouyer
    • 1
  • Denis Corcella
    • 1
  • Alexandra Forli
    • 1
  • Alessandro Semere
    • 1
  1. 1.Clinique de Chirurgie Réparatrice de la Main et des Brûlés SOS Main Grenoble, CHU de Grenoble Hôpital A. MichalonGrenobleFrance

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