Annular Flexor Pulley Injuries in Professional Baseball Pitchers

Lourie, Gary M.; Hamby, Zachary; Raasch, William G.; Chandler, Joseph B.; Porter, Jeff L.

doi:10.1177/0363546510387506

Cited by 36 publications

(27 citation statements)

References 15 publications

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“…Most non-climbing injuries occurred while carrying heavy weights on the finger tips in a position similar to the 'crimp' grip but inverted [20]. Closed annuar pulley injuries have also been recently reported in high level baseball pitchers [21].…”

Section: Injurymentioning

confidence: 96%

The Flexor Tendon Pulley System and Rock Climbing

Crowley¹

2016

J Hand Microsurg

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Section: Injurymentioning

confidence: 96%

The Flexor Tendon Pulley System and Rock Climbing

Crowley¹

2016

J Hand Microsurg

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“…Its rupture may occur alone or in association with the A3 pulley (69). In baseball pitchers, an isolated A4 injury is typically observed (90).…”

Section: Flexor Pulley Injurymentioning

confidence: 99%

Imaging of Sports-related Hand and Wrist Injuries: Sports Imaging Series

Cockenpot¹,

Lefebvre²,

Demondion³

et al. 2016

Radiology

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Hand and wrist injuries are common occurrences in amateur and professional sports and many of them are sport-specific. These can be divided into two categories: traumatic injuries and overuse injuries. The aim of this article is to review the most common hand and wrist sports-related lesions. Acute wrist injuries are predominantly bone fractures, such as those of the scaphoid, hamate hook, and ulnar styloid. Ligament lesions are more challenging for radiologists and may lead to carpal instability if undiagnosed. Overuse wrist injuries are mainly represented by tendinous disorders, with De Quervain syndrome and extensor carpi ulnaris tendon disorders being the most common among them; however, there are other possible disorders such as impaction syndromes, stress fractures, and neurovascular lesions. Finally, finger lesions, including closed-tendon injuries (mallet and boutonniere injuries, jersey finger, and boxer's knuckle), flexor pulley injuries, and skier's thumb, should also be detected. (©) RSNA, 2016 Online supplemental material is available for this article.

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“…Climbers will often report an acute onset of pain during climbing and may recall hearing a "pop." In a series of four professional pitchers, three reported prodromal pain over the middle phalanx prior to sustaining an A4 pulley rupture [38]. Swelling, and occasionally a volar hematoma, will be present in the digit along with tenderness to palpation elicited over the injured pulley.…”

Section: Pulley Injuriesmentioning

confidence: 99%

Sagittal band, boutonniere, and pulley injuries in the athlete

Grandizio

Klena

2017

Curr Rev Musculoskelet Med

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With respect to sagittal band ruptures, boutonniere deformities, and pulley ruptures, the recent literature has been limited in scope. For sagittal band injuries, current efforts have focused on alternative techniques for sagittal band reconstruction. Little progress has been made in recent years with respect to boutonniere injuries in the athletic population; prevention of fixed deformities remains the backbone of treatment. The exact contribution from individual and combined pulley injuries in the creation of bowstringing remains controversial. Recent anatomical studies have failed to definitively answer the question of what degree of rupture is necessary to create symptomatic bowstringing. Favorable outcomes, with respect to both preventing bowstringing and returning to full athletic participation, have been newly reported following pulley reconstruction in rock climbers. Due to the infrequent nature of sagittal band ruptures, boutonniere deformities, and pulley ruptures, current treatment is mostly guided by historically established methods, limited case series, and case reports. Nonsurgical treatment remains the mainstay for most injuries and, if employed early, often precludes the need for surgery. Further anatomical and clinical research, including outcome studies, is necessary in guiding treatment algorithms.

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Annular Flexor Pulley Injuries in Professional Baseball Pitchers

Cited by 36 publications

References 15 publications

The Flexor Tendon Pulley System and Rock Climbing

The Flexor Tendon Pulley System and Rock Climbing

Imaging of Sports-related Hand and Wrist Injuries: Sports Imaging Series

Sagittal band, boutonniere, and pulley injuries in the athlete

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