Abstract
The patient was an 18-year-old male rock climber who was referred to a hand surgeon with a chief complaint of worsening pain in the proximal phalanx of his right middle finger. Past surgical history for the patient included surgical reconstruction of the A2 and A3 pulleys of the left middle finger 2 years prior, following a finger injury that occurred while rock climbing. While the A2 pulley was ruptured, the A3 pulley was absent and replaced by loose fibrous connective tissue. Magnetic resonance imaging was ordered, which demonstrated findings consistent with an absent A3 pulley of the right middle finger. Intraoperatively, these findings were confirmed and surgical reconstruction was performed. J Orthop Sports Phys Ther 2011;41(5):366. doi:10.2519/jospt.2011.0411
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