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Chockstone Forum - Accidents & Injuries

Report Accidents and Injuries

Topic Date User
Seeking a Hand Specialist for pulley injury 14-May-2014 At 1:50:02 PM plumb-bob
Message
So I suspect that I might have ruptured my A3 and possibly my A2 pulley on my left ring finger... There were two audible pops, a sharp pain and loss of strength when I was crimping hard in the gym. I iced it immediately, but there was still swelling and the following day the area in the vicinity of the A3 and A2 pulleys was bruised. The majority of the swelling subsided a day or two after, but the bruising took roughly two weeks to subside.

The issue is, I've had trouble getting a decent diagnosis from my GP. He sent me for x-rays initially, and confirmed that there was no break. He then advised me to stop climbing for two weeks - with no other recommendation to splint the finger etc.

I pushed the fact that it could be a rupture, so he hesitantly referred me for an ultrasound. I went in for the ultrasound yesterday, but the technician/radioloist advised that she isn't really an expert in U/S and would have difficulty picking up something as fine as a pulley. So she's suggested that I head back on Monday for an U/S with a better technician... but was still sceptical that he would be able to find anything.

The problem is, it's already been two weeks since I injured my finger, and it will be three by the time I have the U/S and then a few more days before I get the results. All of the literature I've read has said that splinting my finger for the first two weeks is the best initial therapy for a single rupture, but if I have multiple ruptures, or the finger isn't splinted properly at the initial stages then I will need surgery. So I'm worried that by the time I get the correct diagnosis I might have missed my chance to avoid surgery.

TLDR: I'm wondering if anyone can recommend a good hand specialist (in Melbourne) that has experience with these types of injuries in climbers and isn't just going to give me a funny look when I tell them that I think I've ruptured a pulley???

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