Climbing became an Olympic sport in 2020 and is now practiced increasingly worldwide [1]. The fingers are the most commonly injured body part among climbers [2–4], and among finger injuries, the most frequent involve the finger FT pulleys [5]. Imaging modalities play a key role in the accurate diagnosis of pulley injuries [6–10]. US is the first-line imaging technique, offering high-resolution detail [4,9,11–13].