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Grip Force Measurement as a Complement to High-Resolution Ultrasound in the Diagnosis and Follow-Up of A2 and A4 Finger Pulley Injuries

The ability of finger flexors to generate force has been studied in relation to climbing performance. However, not much attention has been paid to the decrease in finger grip force in relation to annular pulley injuries. The purpose of the present study was to determine if an injured annular pulley...

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Autores principales: Iruretagoiena-Urbieta, Xeber, De la Fuente-Ortiz de Zarate, Javier, Blasi, Marc, Obradó-Carriedo, Felix, Ormazabal-Aristegi, Andoni, Rodríguez-López, Elena Sonsoles
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7235872/
https://www.ncbi.nlm.nih.gov/pubmed/32276341
http://dx.doi.org/10.3390/diagnostics10040206
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author Iruretagoiena-Urbieta, Xeber
De la Fuente-Ortiz de Zarate, Javier
Blasi, Marc
Obradó-Carriedo, Felix
Ormazabal-Aristegi, Andoni
Rodríguez-López, Elena Sonsoles
author_facet Iruretagoiena-Urbieta, Xeber
De la Fuente-Ortiz de Zarate, Javier
Blasi, Marc
Obradó-Carriedo, Felix
Ormazabal-Aristegi, Andoni
Rodríguez-López, Elena Sonsoles
author_sort Iruretagoiena-Urbieta, Xeber
collection PubMed
description The ability of finger flexors to generate force has been studied in relation to climbing performance. However, not much attention has been paid to the decrease in finger grip force in relation to annular pulley injuries. The purpose of the present study was to determine if an injured annular pulley implies a finger flexor force decrease, as well as its relation to clinical and sonographic changes. We performed an observational study in 39 rock climbers with A2 or A4 pulley injuries to the 3rd or 4th fingers. The variables considered were pain upon palpation, ultrasound tendon–bone distance, and finger grip strength decrease. Three rock climbing grip types were considered: the one finger crimp, open crimp, and close crimp. Injured rock climbers presented a decrease in finger grip strength compared to non-injured controls when performing a one finger crimp (p < 0.001). There exists a significant correlation between a tendon–bone distance at the level of the injured pulley and a decreased finger grip strength measured by performing a one finger crimp (p = 0.006). A decrease in finger grip strength could be considered in the diagnostic and follow-up process of A2 and A4 pulley injuries to the 3rd and 4th fingers.
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spelling pubmed-72358722020-05-28 Grip Force Measurement as a Complement to High-Resolution Ultrasound in the Diagnosis and Follow-Up of A2 and A4 Finger Pulley Injuries Iruretagoiena-Urbieta, Xeber De la Fuente-Ortiz de Zarate, Javier Blasi, Marc Obradó-Carriedo, Felix Ormazabal-Aristegi, Andoni Rodríguez-López, Elena Sonsoles Diagnostics (Basel) Article The ability of finger flexors to generate force has been studied in relation to climbing performance. However, not much attention has been paid to the decrease in finger grip force in relation to annular pulley injuries. The purpose of the present study was to determine if an injured annular pulley implies a finger flexor force decrease, as well as its relation to clinical and sonographic changes. We performed an observational study in 39 rock climbers with A2 or A4 pulley injuries to the 3rd or 4th fingers. The variables considered were pain upon palpation, ultrasound tendon–bone distance, and finger grip strength decrease. Three rock climbing grip types were considered: the one finger crimp, open crimp, and close crimp. Injured rock climbers presented a decrease in finger grip strength compared to non-injured controls when performing a one finger crimp (p < 0.001). There exists a significant correlation between a tendon–bone distance at the level of the injured pulley and a decreased finger grip strength measured by performing a one finger crimp (p = 0.006). A decrease in finger grip strength could be considered in the diagnostic and follow-up process of A2 and A4 pulley injuries to the 3rd and 4th fingers. MDPI 2020-04-08 /pmc/articles/PMC7235872/ /pubmed/32276341 http://dx.doi.org/10.3390/diagnostics10040206 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Iruretagoiena-Urbieta, Xeber
De la Fuente-Ortiz de Zarate, Javier
Blasi, Marc
Obradó-Carriedo, Felix
Ormazabal-Aristegi, Andoni
Rodríguez-López, Elena Sonsoles
Grip Force Measurement as a Complement to High-Resolution Ultrasound in the Diagnosis and Follow-Up of A2 and A4 Finger Pulley Injuries
title Grip Force Measurement as a Complement to High-Resolution Ultrasound in the Diagnosis and Follow-Up of A2 and A4 Finger Pulley Injuries
title_full Grip Force Measurement as a Complement to High-Resolution Ultrasound in the Diagnosis and Follow-Up of A2 and A4 Finger Pulley Injuries
title_fullStr Grip Force Measurement as a Complement to High-Resolution Ultrasound in the Diagnosis and Follow-Up of A2 and A4 Finger Pulley Injuries
title_full_unstemmed Grip Force Measurement as a Complement to High-Resolution Ultrasound in the Diagnosis and Follow-Up of A2 and A4 Finger Pulley Injuries
title_short Grip Force Measurement as a Complement to High-Resolution Ultrasound in the Diagnosis and Follow-Up of A2 and A4 Finger Pulley Injuries
title_sort grip force measurement as a complement to high-resolution ultrasound in the diagnosis and follow-up of a2 and a4 finger pulley injuries
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7235872/
https://www.ncbi.nlm.nih.gov/pubmed/32276341
http://dx.doi.org/10.3390/diagnostics10040206
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