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. 2021 Apr;25(2):203-215.
doi: 10.1055/s-0041-1727196. Epub 2021 Jun 3.

Pulley, Flexor, and Extensor Tendon Injuries of the Hand

Andrea B Rosskopf  1   2 , Mihra S Taljanovic  3 , Luca M Sconfienza  4   5 , Salvatore Gitto  5 , Carlo Martinoli  6 , Riccardo Picasso  6 , Andrea Klauser  7
Affiliations

Pulley, Flexor, and Extensor Tendon Injuries of the Hand

Andrea B Rosskopf et al. Semin Musculoskelet Radiol. 2021 Apr.

Abstract

Tendon injuries represent the second most common injury of the hand (after fractures) and are a common scanning indication in radiology. Pulley injuries are very frequent in rock climbers with the A2 pulley the most commonly affected. Tendon and pulley injuries can be reliably evaluated using ultrasound (US) and magnetic resonance imaging (MRI). US can be postulated as a first-line imaging modality, allowing dynamic examination. MRI is essential for cases with ongoing diagnostic doubt post-US and also for preoperative pulley reconstruction assessment.

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Conflict of interest statement

Disclosure The authors report no conflicts of interest in this work.