Table 1 Pulley-injury score, closed injuries
From: To tape or not to tape: annular ligament (pulley) injuries in rock climbers—a systematic review
Grade | Injury | Treatment |
|---|---|---|
1 | Pulley strain | Conservative (tape) |
2 | Complete rupture of A4 or partial rupture of A2 or A3 | Conservative (tape) |
3 | Complete rupture of A2 or A3 | Conservative (thermoplastic ring + tape) |
4 | Multiple ruptures (as A2/A3, A2/A3/A4) or single rupture (as A2 or A3) combined with lumbricalis muscle or collateral ligament trauma | Surgical reconstruction |