Image by Jef Willemyns
dorsal final_edited.jpg
Successful Finger Pulley Injury (A2 Pulley Sprain or Climber’s Finger) Treatment with a SPOrt™
Acute A2 Pulley Tear - Ultrasound.jpg
Acute A2 Pulley Tear - Stressed.jpg

This is a common ultrasound on the ring finger of a climber who felt pain and heard a pop in his finger while working his rock-climbing project.  What we as physicians measure is the TPD or Tendon to Phalanx (Bone) Distance.  In uninjured climber’s fingers it is around 0.1-0.15cm.  In this climber, in the first photo his TPD is 0.39cm and when stressed the TPD measures 0.42cm.  This is consistent with a complete A2 pulley injury, which would be classified as a Grade III sprain.


Treatment of a finger pulley injury like this with extensive rest, H-taping, circumferential taping, buddy taping or even immobilization will not decrease the TPD as these interventions do nothing to reduce the tendon and pulley deformity.  Use of the SPOrt™ however, does reduce the deformity and reduces the TPD!  Pulleys heal in a more normal shape and allow for more normal finger function.

After SPOrt treatment - At Rest.jpg
After SPOrt treatment - Stressed.jpg

In the pictures above, you can see after 8 weeks of treatment with the SPOrt™, following the enclosed instructions, this climber was psyched as his finger no longer hurt and the TPD decreased both at rest and when stressed, to 0.23cm and 0.30cm respectively.  This is an improvement of 56% back to a normal pulley measurement, compared to an improperly treated finger pulley injury which would not change at all.  This decreased TPD means a tighter pulley and more normal tendon function in the future.


Please use the SPOrt™ to manage your pulley injuries and get them to heal as anatomically as possible!


Happy Fingers = Happy Climbers!