A4 Pulley Rupture
 

Author: Rajit Banerjee, MD
Affiliation: University of Pittsburgh Medical Center (UPMC)
Co Author(s): Dr Ryan Nussbaum
Editor: Raul Rosario-Concepcion, MD

Clinical Vignette: 18 YO male presented for left 4th digit finger pain when coming off the wall from rock climbing using crimp grip position. Swelling and tenderness to palpation noted in the distal aspect of the middle phalanx of the left hand

Type of Probe Used: 22 MHz Ultra-High Frequency Hockey Stick



Long axis view of Left 4th middle phalanx (injured) and Left 3rd middle phalanx (non-injured) with labeled phalanx and flexor muscle regions (FDS and FDP). Dotted blue line on Left 4th phalanx designates hypoechoic gap of 0.28cm or 2.8mm and 0.05cm or 0.5mm on the Left 3rd middle phalanx.


Long axis view of Left 4th middle phalanx (injured) and Left 3rd middle phalanx (non-injured). Left side for both images is proximal.

NOTE: For more information, please contact the AMSSM, 4000 W. 114th Street, Suite 100, Leawood, KS 66211 (913) 327-1415.
 

© The American Medical Society for Sports Medicine
4000 W. 114th Street, Suite 100
Leawood, KS 66211
Phone: 913.327.1415


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