Skeletal Radiology

, Volume 48, Issue 9, pp 1435–1437 | Cite as

Semi-dynamic MRI of climbing-associated injuries of the finger

  • Frank SchellhammerEmail author
  • Andreas Vantorre
Technical Report



Injuries of the flexor–tendon–pulley system are common in rock climbers. The status of the A3 pulley ligament is crucial for grading such injuries. As standard MRI may miss lesions of the A3 pulley ligament, we introduce a semi-dynamic MRI sequence.

Materials and methods

Twenty-two fingers (14 volunteers, 3 injured climbers) were scanned using a sagittal T1 turbo spin echo sequence (repetition time: 400 ms, echo time: 14 ms, slice thickness: 5 mm) in six consecutive finger positions from stretched to maximum possible flexion.


No pulley lesion was found in volunteers. Bowstringing was detected in 3 injured fingers including the A3 pulley.


Semi-dynamic MRI is an technique that is easy to perform to identify injuries of the A3 pulley ligament that were not seen on standard imaging.


Rock climbing Flexor–tendon–pulley system MRI 


Compliance with ethical standards

Conflicts of interest

The authors declare that they have no conflicts of interest.


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Copyright information

© ISS 2019

Authors and Affiliations

  1. 1.Diagnostic and Interventional RadiologyKrankenhaus der Augustinerinnen KölnCologneGermany
  2. 2.Network of Sports Medicine in Rock ClimbingFrankfurtGermany

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