HSS Ultrasound Case 64

Clinical History 30 year-old woman with pain in the right middle and ring fingers following rockclimbing injury.

The patient was referred for an ultrasound (US) to assess for tendon injury.

Ultrasound of the Month – Case 64

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Ultrasound of the Month – Case 64

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Ultrasound of the Month – Case 64

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Diagnosis: A4 pulley rupture of the right ring finger Discussion There are 5 pulleys associated with the flexor tendon sheath of the finger The most important for biomechanical function are the A2 and A4 pulleys The A2 is the strongest pulley but most commonly injured Pulley rupture is an overuse injury commonly seen in rock-climbers Sonography is effective in the evaluation of pulley rupture and can be useful to assess for the integrity of the flexor tendon

Ultrasound of the Month – Case 64

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