Impact of taping after finger flexor tendon pulley ruptures in rock climbers.

@article{Schoffl2007ImpactOT,
  title={Impact of taping after finger flexor tendon pulley ruptures in rock climbers.},
  author={I. Schoffl and Frank Einwag and Wolf Strecker and Friedrich Frank Hennig and V. Schoffl},
  journal={Journal of applied biomechanics},
  year={2007},
  volume={23 1},
  pages={
          52-62
        }
}
Flexor tendon pulley ruptures are the most common injury in rock climbers. Therapeutic standards usually include a prolonged use of taping applied as a replacement for the lost pulley in a circular fashion at the base of the proximal phalanx. Our biomechanical considerations, however, suggest a new taping method, the H-tape. The purpose of the study is to evaluate whether this new taping method can effectively change the course of the flexor tendon and therefore reduce the tendon-bone distance… Expand
Stress examination of flexor tendon pulley rupture in the crimp grip position: a 1.5-Tesla MRI cadaver study
TLDR
MRI examination in the crimp grip position results in higher tendon bone distances by subjecting the pulleys to a higher strain, which facilitates image evaluation with higher interobserver reliability, higher sensitivity, and higher specificity for combined pulley rupture compared withexamination in the neutral position. Expand
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TLDR
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TLDR
Over the last decade, there have been 2 new developments in the way hand surgeons think about the flexor pulley system, and the intentional partial A2 and/or A4 pulley excision or venting is emerging as a component for successful treatment in cases of zone II flexor tendon injury. Expand
Multiple flexor tendon pulley ruptures in a division 1 collegiate football player
TLDR
This case illustrates a successful treatment option in football players with multiple flexor pulley ruptures treated non-operatively through splinting and taping techniques. Expand
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TLDR
This case is presented to highlight the importance of preoperative history-taking, with particular emphasis on any earlier steroid infiltrations, when planning to use tendons for reconstructions. Expand
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TLDR
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TLDR
The purpose of this article is to identify key aspects of the patient history, clinical evaluation, and diagnostic testing relevant to flexor function, and to discuss treatment options in the setting of injuries to the flexor tendons and flexor pulley system of the hand. Expand
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TLDR
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A new measuring technique for determining the forces acting on the pulley system of the finger
In this study, a new force measuring technique was employed for determining the forces acting on the pulley system of the finger. An index and a ring finger of two separate cadavers (76 and 75 yearsExpand
Tendon injuries of the hand.
TLDR
In the postoperative course of flexor tendon injuries, the principle of early passive movement is important to trigger an "intrinsic" tendon healing to guarantee a good outcome, and hyaluronic acid may improve intrinsic tendon healing. Expand
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References

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TLDR
It is suggested that reliance on bowstringing of the tendon at the proximal interphalangeal joint with resisted flexion of the fingertips as an indicator of an isolated rupture of the A2 or A4 pulley may be misleading. Expand
The Effect of Circumferential Taping on Flexor Tendon Pulley Failure in Rock Climbers
TLDR
Findings do not support taping the base of the fingers as a prophylactic measure against flexor tendon sheath injury in the climbing athlete, and A2 pulley strength was greater in male specimens than in female specimens. Expand
Biomechanical Effectiveness of Taping the A2 Pulley in Rock Climbers
TLDR
Circular taping is minimally effective in relieving force on the A2 pulley and is probably ineffective in preventing pulley ruptures. Expand
Strength Measurement and Clinical Outcome after Conservatively Treated Pulley Ruptures in Climbers
TLDR
The clinical outcome was excellent (Buck-Gramcko-Score) in all cases the subjects regained their climbing level within a year and the relative strength was not significantly different for the injured and the healty finger in either the hanging or the crimping finger position. Expand
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TLDR
On follow-up magnetic resonance images, bowstringing remained unchanged in group A but was reduced in all patients in group B, and good subjective results were seen in both groups. Expand
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TLDR
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TLDR
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TLDR
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TLDR
The largest amount of bowstringing was caused by the flexor digitorum profundus tendon in the crimp grip position being less using slope grip position (PIP joint extended), and increase of force in one finger holds by the quadriga effect was shown using crimp and slope Grip position. Expand
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TLDR
Closed traumatic ruptures of finger flexor tendon pulleys began to be recognized specifically over the past several decades and are seen more commonly in rock climbers. Expand
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