How to Prepare Bone Marrow and Get all of Its Benefits

>> YOUR LINK HERE: ___ http://youtube.com/watch?v=Ej8FwzKnmHo

Dr. Ebraheim’s educational animated video describes the conditions of trigger finger and trigger thumb. • Trigger finger is a condition where the involved finger will catch as it bends. • The finger is straightened with a pop or a snap. The flexor tendon becomes thick and irritated as it slides through the tendon pulley causing a thickened nodule and triggering of the tendon. The discrepancy between the diameter of the tendon and the size of the pulley opening causes the triggering. • Symptoms • •Pain may be located in the palm at the base of the finger. • •Tenderness at the A1 pulley. • Causes • •Occurs more in women •More in diabetics •Rheumatoid arthritis • •Repetitive injuries •Occupational. • Locking can occur when the tendon is unable to pass through the sheath. As the tendon becomes inflammaed, it gets caught. • Treatment • •Rest •Splinting •Injection into the sheath not the tendon •Injections can be repeated •Surgical release of A1 pulley. • When releasing the A1 pulley, the release should be done at the level of the MP joint. • The A2 and A4 pulleys are important and should not be touched, excised or released. • A1 pulley is cut and the flexor tendon is released. • Technique of injection • •Injection into the flexor sheath may provide relief for triggering of the finger. • •After the site is marked, use a 25-gauge needle. • •Advance the needle through the midline down to the bone. • •Pull the needle back slightly and inject the medication freely. • How do you surgically release the A1 pulley? • •The incision is marked on the MP flexion crease. • •The incision is marked out in the palmar crease for surgical division of the A1 pulley. • •The A1 pulley is exposed and released. • •The tendon is released. • •Patient is asked to move the fingers to confirm the success of the operation. • •Incision for trigger thumb release placed in MP flexion crease. • •When releasing the flexor pollicis longus tendon, watch out for the digital radial nerve in the field of surgery. • Sagittal view ultrasound showing the flexor tendon going through the A1 pulley of the finger. • Transverse view ultrasound showing the flexor tendon going through the A1 pulley of the finger. • 0:00 Introduction • 0:09 TRIGGER FINGER • 0:56 Symptoms • 3:25 TREATMENT • 5:00 TECHNIQUE OF INJECTION • 6:45 SURGICAL RELEASE • Click the link below to explore my blogs and articles on Medium: / dr_nabil_ebraheim

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