{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T12:04:06Z","timestamp":1779365046707,"version":"3.53.0"},"reference-count":10,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2015,11,17]]},"abstract":"<jats:p>Climbing athletes frequently suffer from pulley ruptures, as the shear stress on the finger flexor tendon pulley system is extremely high, especially in the \u2018crimping position\u2019. Studies showed that surgery only has to be performed in a multiple pulley rupture situation (grade IV injuries). This case describes a complication that appeared after performing a \u2018bone-encircling\u2019 technique recommended for climbers (modified \u2018one-and-a-half-loop\u2019 technique). Simultaneously with resumption of full-strength training after surgery and rehabilitation, the dorsolateral cortex of the proximal phalanx, to which the tendon transplant (palmaris longus tendon surrounding bone and flexor tendon of the finger) is entangled, developed an osteitis and atrophy. We investigated two athletes with the same complaints and symptoms.<\/jats:p>","DOI":"10.1136\/bcr-2015-213109","type":"journal-article","created":{"date-parts":[[2015,12,1]],"date-time":"2015-12-01T06:17:39Z","timestamp":1448950659000},"page":"bcr2015213109","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":10,"title":["Intermittent unspecific osteitis and cortex atrophy of the proximal phalanx after surgical pulley repair"],"prefix":"10.1136","volume":"2015","author":[{"given":"Christoph","family":"Lutter","sequence":"first","affiliation":[{"name":"CvPath Institute, Gaithersburg, Maryland, USA"},{"name":"Department of Sports Orthopedics, Sports Medicine, Sports Traumatology, Department for Orthopedics and Traumatology, Klinikum Bamberg, Bamberg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Volker","family":"Schoeffl","sequence":"additional","affiliation":[{"name":"Department of Sports Orthopedics, Sports Medicine, Sports Traumatology, Department for Orthopedics and Traumatology, Klinikum Bamberg, Bamberg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2015,12,1]]},"reference":[{"key":"2025082707245690000_2015.dec01_1.bcr2015213109.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2006.02.011"},{"key":"2025082707245690000_2015.dec01_1.bcr2015213109.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2011.10.008"},{"key":"2025082707245690000_2015.dec01_1.bcr2015213109.3","doi-asserted-by":"publisher","DOI":"10.1249\/01.mss.0000210199.87328.6a"},{"key":"2025082707245690000_2015.dec01_1.bcr2015213109.4","doi-asserted-by":"publisher","DOI":"10.1580\/1080-6032(2003)014[0094:PIIRC]2.0.CO;2"},{"key":"2025082707245690000_2015.dec01_1.bcr2015213109.5","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(89)80083-8"},{"key":"2025082707245690000_2015.dec01_1.bcr2015213109.6","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsb.2006.09.019"},{"key":"2025082707245690000_2015.dec01_1.bcr2015213109.7","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(89)80082-6"},{"key":"2025082707245690000_2015.dec01_1.bcr2015213109.8","doi-asserted-by":"publisher","DOI":"10.1016\/0266-7681(89)90081-8"},{"key":"2025082707245690000_2015.dec01_1.bcr2015213109.9","first-page":"81","article-title":"Digital flexor sheath: repair and reconstruction of the annular pulleys and membranous sheath","volume":"9","author":"Seiler","year":"2000","journal-title":"J Southern Orthop Assoc"},{"key":"2025082707245690000_2015.dec01_1.bcr2015213109.10","doi-asserted-by":"publisher","DOI":"10.1002\/jor.1100040112"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2015-213109","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T14:25:05Z","timestamp":1756304705000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2015-213109"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,12,1]]},"references-count":10,"alternative-id":["10.1136\/bcr-2015-213109"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2015-213109","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,12,1]]}}}