Semin Musculoskelet Radiol 2021; 25(02): 203-215
DOI: 10.1055/s-0041-1727196
Review Article

Pulley, Flexor, and Extensor Tendon Injuries of the Hand

Andrea B. Rosskopf
1   Department of Radiology, Balgrist University Hospital, University of Zurich, Zurich, Switzerland
2   Department of Radiology, ARISTRA, Zurich, Switzerland
,
Mihra S. Taljanovic
3   Department of Medical Imaging, University of Arizona, Business, SimonMed Imaging, Scottsdale, Arizona
,
Luca M. Sconfienza
4   IRCCS Istituto Ortopedico Galeazzi, Milano, Italy
5   Department of Biomedical Sciences for Health, University of Milano, Milano, Italy
,
Salvatore Gitto
5   Department of Biomedical Sciences for Health, University of Milano, Milano, Italy
,
Carlo Martinoli
6   Cattedra di Radiologia-DISC, Università di Genova, Genova, Italy
,
Riccardo Picasso
6   Cattedra di Radiologia-DISC, Università di Genova, Genova, Italy
,
Andrea Klauser
7   Department of Radiology, Division of Rheumatology and Sports Imaging, Medical University Innsbruck, Innsbruck, Austria
› Author Affiliations
Zoom Image

Abstract

Tendon injuries represent the second most common injury of the hand (after fractures) and are a common scanning indication in radiology. Pulley injuries are very frequent in rock climbers with the A2 pulley the most commonly affected. Tendon and pulley injuries can be reliably evaluated using ultrasound (US) and magnetic resonance imaging (MRI). US can be postulated as a first-line imaging modality, allowing dynamic examination. MRI is essential for cases with ongoing diagnostic doubt post-US and also for preoperative pulley reconstruction assessment.

Supplementary Material



Publication History

Article published online:
03 June 2021

© 2021. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA