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Finger Pulley Injuries in Climbers Finger pulley injuries are among the most common injuries in rock climbers. These injuries occur when the small ligaments that hold the flexor tendons close to the finger bones become overloaded. The A2 and A4 pullies are the most frequently injured pulley because it experiences very high forces when climbers crimp on small holds or make dynamic moves. Climbers often develop pulley injuries when training volume increases too quickly, when fi