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Climber’s Pulley Injuries

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Sports Injuries of the Hand and Wrist

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Handgrip techniques in modern rock climbing generate climbing-related injuries especially at the tendon sheath level. The most frequent injury is an A2 pulley rupture. The end result is bowstringing of the flexor tendon and may be confirmed by imaging. Surgery when required is usually an extensor retinaculum graft to reconstruct the ruptured pulley. Surgery often results in a satisfactory outcome, and patients usually return to their previous climbing performance. Further education of the patient about the injury and simple measures of warm-up may prevent recurrence of injury.

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Correspondence to François Moutet .

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Questions and Answers

Questions and Answers


  1. 1.

    What are the three main grips used by rock climbers?

  2. 2.

    What is the most commonly injured pulley in climbers?

  3. 3.

    Majority of pulley injuries occur during outdoor competition? True or false.


  1. 1.

    The “hook” grip , the open or “slope” grip and the cling or “crimp” grip .

  2. 2.


  3. 3.

    False. Over 60% occur during indoor practice.

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Moutet, F., Bouyer, M., Corcella, D., Forli, A., Semere, A. (2019). Climber’s Pulley Injuries. In: Hayton, M., Ng, C., Funk, L., Watts, A., Walton, M. (eds) Sports Injuries of the Hand and Wrist. In Clinical Practice. Springer, Cham.

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-02133-7

  • Online ISBN: 978-3-030-02134-4

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