--- title: Guess that sport pulley tear description: Guess that sport pulley tear image: https://info.medality.com/hubfs/Imported_Blog_Media/gAf6nVzYQHKaROQ6D1Xe-1.jpeg --- [![ProScan-MRIONLINE-LOGO](https://info.medality.com/hs-fs/hubfs/LOGOS/ProScan-MRIONLINE-LOGO.png?width=1470&name=ProScan-MRIONLINE-LOGO.png "ProScan-MRIONLINE-LOGO")](https://mrionline.proscan.com) - [Knee](https://info.medality.com/topic/knee) - [MSK](https://info.medality.com/topic/msk) ## [How should you approach this 24-year-old's knee case?](https://info.medality.com/proscan-case-review/msk/approach-24-year-olds-knee-case) **Sam Wilson** | Oct 20, 2017 12:32:37 PM This 24-year-old reports for a knee MRI. She reports no injury, but her knee is misaligned and pain is worse with activity. ![ProScan Education](https://info.medality.com/hubfs/Imported_Blog_Media/gAf6nVzYQHKaROQ6D1Xe-1.jpeg "ProScan Education") - [Hand](https://info.medality.com/topic/hand) - [MSK](https://info.medality.com/topic/msk) - [ProScan Case Review](https://info.medality.com/topic/proscan-case-review) ### [Guess that sport pulley tear](https://info.medality.com/proscan-case-review/msk/guess-that-sport-pulley-tear) - [**](https://www.facebook.com/sharer/sharer.php?u=https%3A%2F%2Finfo.medality.com%2Fproscan-case-review%2Fmsk%2Fguess-that-sport-pulley-tear) - [**](https://www.twitter.com/share?url=https%3A%2F%2Finfo.medality.com%2Fproscan-case-review%2Fmsk%2Fguess-that-sport-pulley-tear) - [**](http://www.linkedin.com/shareArticle?mini=true&url=https://info.medality.com/proscan-case-review/msk/guess-that-sport-pulley-tear) [All Posts](https://info.medality.com/all) # Guess that sport pulley tear - [Tweet](https://twitter.com/share) ## **Guess that sport - MRI Case Review with Dr. Pomeranz** At ProScan, we specialize in sports injuries. We regularly read for professional sports organizations in the NFL, NHL and more. We review LOTS of MRI sports injury cases. ***If you read MRI, or want to read more of it, chances are you see a lot of sports injuries, too!*** I'm going to share a case with you of another athlete we saw recently who had a finger injury. I'd like for you to pause and try to guess the sport before you look at my findings. It's a 35-year-old male with middle finger pain. What is the injury? Which subtype or location specifically? What is most common “one” to tear? What is the most likely sport to cause this? ![](https://info.medality.com/hubfs/Imported_Blog_Media/gAf6nVzYQHKaROQ6D1Xe-1.jpeg) .... did you think about it? .... hint: it's not a football, hockey player or skier ... **Findings** - Pulley tear, middle finger (arrows) and tendon sags towards palm or volarly. - A2 pulley at proximal third of proximal phalanx is injury. - A2 is most common to tear. The most likely sport? **Rock climbing!** Hope you enjoyed the case review. If you need to brush up on your hand injuries, check out our [Medical Imaging Quick Hits](http://mrionline.proscan.com/p/medical-imaging-quick-hits), where we go through several hand cases in detail. For a more thorough hand review, complete with several cases and 2 CME, I'd recommend our [MRI Case Review Series](https://proscanshopping.com/store_products.php?category=276). More to come! SJP P.S. 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Fusce dapibus [![Get Your Copy](https://no-cache.hubspot.com/cta/default/4177793/795b3b16-192b-42dd-9cda-7df4fba5a6c9.png)](https://cta-redirect.hubspot.com/cta/redirect/4177793/795b3b16-192b-42dd-9cda-7df4fba5a6c9) Recent Posts - [Knee](https://info.medality.com/topic/knee) - [MSK](https://info.medality.com/topic/msk) ## [How should you approach this 24-year-old's knee case?](https://info.medality.com/proscan-case-review/msk/approach-24-year-olds-knee-case) #### This 24-year-old reports for a knee MRI. She reports no injury, but her knee is misaligned and pain is worse with activity. 1. What do you call the ty... [Read more](https://info.medality.com/proscan-case-review/msk/approach-24-year-olds-knee-case) - [MSK](https://info.medality.com/topic/msk) - [Wrist](https://info.medality.com/topic/wrist) ## [Anatomy is king (or queen) in this wrist case](https://info.medality.com/proscan-case-review/msk/anatomy-king-queen-wrist-case) #### This 45-year-old male has pain around the scaphoid after an accident. What is wrong with the scaphoid? On the two water-weighted images (image 1, prot... [Read more](https://info.medality.com/proscan-case-review/msk/anatomy-king-queen-wrist-case) - [Hand](https://info.medality.com/topic/hand) - [MSK](https://info.medality.com/topic/msk) ## [Why does this 39-year-old man have a lump on his finger?](https://info.medality.com/proscan-case-review/msk/39-year-old-man-lump-finger) #### This 39-year-old man presents with a lump on his index finger and pain. He has a history of a pinching injury one year ago, so what would be your diff... [Read more](https://info.medality.com/proscan-case-review/msk/39-year-old-man-lump-finger) - [Foot](https://info.medality.com/topic/foot) - [MSK](https://info.medality.com/topic/msk) - [Pediatric](https://info.medality.com/topic/pediatric) ## [Why does this 11-year-old have a moving toe lump?](https://info.medality.com/proscan-case-review/msk/11-year-old-moving-toe-lump) #### This 11-year-old female presents with a lump on the third digit of her foot that has been present for more than a year. The lump is mobile on exam, an... 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