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Updated: Aug 11, 2026

Arthroscopic Management of Massive Irreparable Rotator Cuff Tears: Whole Rotator Cable Reconstruction Using Proximal Biceps Tendon Autograft
Published on: June 6, 2025
Pulley rupture and reconstruction in rock climbers
François Moutet1, Alexandra Forli, Delphine Voulliaume
1Hand and Burns Unit, Department of Plastic Surgery, University Joseph Fourrier, Albert Michallon Hospital, Grenoble, France. fmoutet@chu-grenoble.fr
Abstract:
Hand-grip techniques in modern rock climbing generate climbing-related injuries, especially at the flexor tendon sheath level. The most frequent injury is A2 pulley rupture. The clinical diagnosis is based on bowstringing of the flexor tendon and confirmed by computed tomograph scan or magnetic resonance imaging. The surgical procedure is based on an extensor retinaculum graft to reconstruct the ruptured pulley. It is the only efficient treatment regardless of the time between accident and surgery. Thanks to this surgical procedure, patients recover or improve their former climbing performance. Some precautions before climbing may prevent this injury, and these are listed.
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