Thumb Pain , Trigger Thumb , Bilateral - Everything You Need To Know - Dr. Nabil Ebraheim скачать в хорошем качестве

Thumb Pain , Trigger Thumb , Bilateral - Everything You Need To Know - Dr. Nabil Ebraheim

Dr. Ebraheim’s educational animated video describes the condition of trigger thumb. Stenosing tenosynovitis. Many conditions of the thumb can cause pain. Trigger thumb is often called stenosing tenosynovitis and it can be bilateral. Trigger thumb can be associated with painful triggering or locking. Focal degenerative thickening of the flexor tendon (flexor pollicis longus) creates what looks like a nodule (localized swelling) at the level of the metacarpal phalangeal joint of the thumb. This limits the tensor excursion with tendon stretch. The nodule gets jammed beneath the A1 pulley. This occurs with a painful snap or click, similar to a trigger getting pulled or released with either flexion or extension of the thumb. A small change in the size between the flexor tendon diameter and the A1 pulley will affect the thumb flexion and extension. When the nodule gets jammed, the thumb becomes locked. Idiopathic trigger thumb occurs more in women. It occurs during the 5th or 6th decade of life and is often bilateral. Causes •Idiopathic •Diabetes •Osteoarthritis •Inflammatory arthritis •Gout. Patients with trigger thumb most likely develop carpal tunnel syndrome or De Quervain’s syndrome. Patient with trigger thumb may develop the condition from playing too much video games. Treatment •Anti-inflammatory medication •Injection into the sheath not the tendon •Ultrasound is a great modality for precise injection. •Consider surgery in difficult cases: oRelease of the pully oAvoid injury to the radial digital nerve oThe radial digital nerve crosses oblique over the sheath proximal to the A1 pulley. Become a friend on facebook:   / drebraheim   Follow me on twitter: https://twitter.com/#!/DrEbraheim_UTMC Background music provided as a free download from YouTube Audio Library. Song Title: Every Step