Causes, Diagnosis and Treatment of Finger Flexor Pulley Injuries in Climbers a Literature Review
Introduction: Climbing, which has recently become very popular, causes significant loads on the upper limbs, especially the fingers, which often leads to a closed traumatic rupture of the finger flexor pulleys.Objective: The aim of this review was to analyse the causes, diagnosis and treatment of fi...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Univeristy of Physical Education in Krakow
2022-05-01
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| Series: | Rehabilitacja Medyczna |
| Subjects: | |
| Online Access: | http://rehmed.pl/gicid/01.3001.0015.8543 |
| _version_ | 1797902748409135104 |
|---|---|
| author | Jakub Szczechowicz Sara Rosińska |
| author_facet | Jakub Szczechowicz Sara Rosińska |
| author_sort | Jakub Szczechowicz |
| collection | DOAJ |
| description | Introduction: Climbing, which has recently become very popular, causes significant loads on the upper limbs, especially the fingers, which often leads to a closed traumatic rupture of the finger flexor pulleys.Objective: The aim of this review was to analyse the causes, diagnosis and treatment of finger flexor pulley injuries in climbers.Material and methods: The literature was searched using the EBSCO Discovery Service and GoogleScholar multi-search engines, as well as ScienceDirect, Web of Science and SpringerLink databases.Results: The search allowed for the selection of 13 articles meeting the inclusion criteria.Conclusions: Analysis of the literature revealed that the main factor predisposing to traumatic injuries of the finger flexor pulleys in climbers is the use of a closed crimp, during which high forces act on the pulley system. Diagnosis of such damage should be based on imaging examination, primarily, as recommended by the authors of the analysed publications, via dynamic ultrasound. Conservative treatment should include physiotherapeutic interventions, as well as protection of the pulleys with a thermoplastic orthosis or taping, and, if necessary, temporary immobilisation. Following surgery, rehabilitation should be similar to conservative treatment, but its duration extended. Treatment must always be individually selected to the patient's condition. The present analysis of literature indicates the need for further research, especially among larger groups of subjects, in order to consolidate the current knowledge about the management of injuries to the flexor pulleys of the fingers. |
| first_indexed | 2024-04-10T09:22:42Z |
| format | Article |
| id | doaj.art-e3a7cc6ebd2647fa94912084a230b416 |
| institution | Directory Open Access Journal |
| issn | 1427-9622 1896-3250 |
| language | English |
| last_indexed | 2024-04-10T09:22:42Z |
| publishDate | 2022-05-01 |
| publisher | Univeristy of Physical Education in Krakow |
| record_format | Article |
| series | Rehabilitacja Medyczna |
| spelling | doaj.art-e3a7cc6ebd2647fa94912084a230b4162023-02-20T09:58:18ZengUniveristy of Physical Education in KrakowRehabilitacja Medyczna1427-96221896-32502022-05-01262536310.5604/01.3001.0015.854301.3001.0015.8543Causes, Diagnosis and Treatment of Finger Flexor Pulley Injuries in Climbers a Literature ReviewJakub Szczechowicz0Sara Rosińska1Department of Kinesiotherapy, AWF – University of Physical Education in Kraków PolandNZOZ Reha Ortopedica in Myślenice, PolandIntroduction: Climbing, which has recently become very popular, causes significant loads on the upper limbs, especially the fingers, which often leads to a closed traumatic rupture of the finger flexor pulleys.Objective: The aim of this review was to analyse the causes, diagnosis and treatment of finger flexor pulley injuries in climbers.Material and methods: The literature was searched using the EBSCO Discovery Service and GoogleScholar multi-search engines, as well as ScienceDirect, Web of Science and SpringerLink databases.Results: The search allowed for the selection of 13 articles meeting the inclusion criteria.Conclusions: Analysis of the literature revealed that the main factor predisposing to traumatic injuries of the finger flexor pulleys in climbers is the use of a closed crimp, during which high forces act on the pulley system. Diagnosis of such damage should be based on imaging examination, primarily, as recommended by the authors of the analysed publications, via dynamic ultrasound. Conservative treatment should include physiotherapeutic interventions, as well as protection of the pulleys with a thermoplastic orthosis or taping, and, if necessary, temporary immobilisation. Following surgery, rehabilitation should be similar to conservative treatment, but its duration extended. Treatment must always be individually selected to the patient's condition. The present analysis of literature indicates the need for further research, especially among larger groups of subjects, in order to consolidate the current knowledge about the management of injuries to the flexor pulleys of the fingers.http://rehmed.pl/gicid/01.3001.0015.8543finger injuriespulleyshand therapyclimbers |
| spellingShingle | Jakub Szczechowicz Sara Rosińska Causes, Diagnosis and Treatment of Finger Flexor Pulley Injuries in Climbers a Literature Review Rehabilitacja Medyczna finger injuries pulleys hand therapy climbers |
| title | Causes, Diagnosis and Treatment of Finger Flexor Pulley Injuries in Climbers a Literature Review |
| title_full | Causes, Diagnosis and Treatment of Finger Flexor Pulley Injuries in Climbers a Literature Review |
| title_fullStr | Causes, Diagnosis and Treatment of Finger Flexor Pulley Injuries in Climbers a Literature Review |
| title_full_unstemmed | Causes, Diagnosis and Treatment of Finger Flexor Pulley Injuries in Climbers a Literature Review |
| title_short | Causes, Diagnosis and Treatment of Finger Flexor Pulley Injuries in Climbers a Literature Review |
| title_sort | causes diagnosis and treatment of finger flexor pulley injuries in climbers a literature review |
| topic | finger injuries pulleys hand therapy climbers |
| url | http://rehmed.pl/gicid/01.3001.0015.8543 |
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