Pulley Injuries Explained (Part 2)

In Part 2, I’d like to shed some light on pulley injury specifics, including the injury grading system and what tissues/structures are affected, and then I will walk you through what conservative management of a pulley injury looks like. The good news for climbers today is that climbing-specific surgeons, like Dr. Volker Schöffl, now view surgery as a last resort for single pulley injuries, and only recommend it for multiple pulley ruptures. I will finish with some injury prevention strategies to keep you all climbing strong and healthy.

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Pulley Injuries Explained (Part 1)

If you’re a climber, chances are you have either had a finger injury, or at least you know someone who has had one. According to the research literature, namely Doctors Volker Schöffl1, Alex Folkl, and Erik Gerdes, finger injuries are the number one culprit, with A2 pulley injuries being the most common.

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Rachel KrahenbuhlComment
How to Hang Right: Optimal Shoulder Posture for Climbers

It’s a myth of climbing beta that we’ve all heard: hanging on your bones instead of engaging muscles conserves energy while resting on a climb. The fallacy of this myth is that the human body is not manufactured to function like a bag of rocks. Hanging loose puts undue stress, wear, and tear on the soft tissues that function to connect the bones in our shoulders, leading to a host of insidious injuries. The wild thing is that climbers are hanging loose even when energy conservation isn’t a concern, such as on the hangboard or pull-up bar.

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