Gil Baumgarten Popular Books

Gil Baumgarten Biography & Facts

Trigger finger, also known as stenosing tenosynovitis, is a disorder characterized by catching or locking of the involved finger in full or near full flexion, typically with force. There may be tenderness in the palm of the hand near the last skin crease (distal palmar crease). The name "trigger finger" may refer to the motion of "catching" like a trigger on a gun. The ring finger and thumb are most commonly affected.The problem is generally idiopathic (no known cause). People with diabetes might be relatively prone to trigger finger. The pathophysiology is enlargement of the flexor tendon and the A1 pulley of the tendon sheath. While often referred to as a type of stenosing tenosynovitis (which implies inflammation) the pathology is mucoid degeneration. Mucoid degeneration is when fibrous tissue such as tendon has less organized collagen, more abundant extra-cellular matrix, and changes in the cells (fibrocytes) to act and look more like cartilage cells (chondroid metaplasia). Diagnosis is typically based on symptoms and signs after excluding other possible causes.Trigger digits can resolve without treatment. Treatment options that are disease modifying include steroid injections and surgery. Splinting immobilization of the finger may or may not be disease modifying. Signs and symptoms Symptoms include catching or locking of the involved finger when it is forcefully flexed. There may be tenderness in the palm of the hand near the last skin crease (distal palmar crease). Often a nodule can be felt in this area. There is some evidence that idiopathic trigger finger behaves differently in people with diabetes. Causes It is important to distinguish association and causation. The vast majority of trigger digits are idiopathic, meaning there is no known cause. However, recent publications indicate that diabetes and high blood sugar levels increases the risk of developing trigger finger.Some speculate that repetitive forceful use of a digit leads to narrowing of the fibrous digital sheath in which it runs, but there is little scientific data to support this theory. The relationship of trigger finger to work activities is debatable and there are arguments for and against a relationship to hand use with no experimental evidence supporting a relationship. Diagnosis Diagnosis is made on interview and physical examination. More than one finger may be affected at a time. It is most common in the thumb and ring finger. The triggering more often occurs while gripping an object firmly or during sleep when the palm of the subject’s hand remains closed for an extended period of time, presumably because the enlargement of the tendon is maximum when the finger is not being used. Upon waking, the affected person may have to force the triggered fingers open with their other hand. In some, this can be a daily occurrence. Treatment Depending on the number of affected digits and the clinical severity of the condition, Corticosteroid injections can cure trigger digits.Treatment consists of injection of a corticosteroid such as methylprednisolone often combined with a local anesthetic (lidocaine) at the A1 pulley in the palm. The infiltration of the affected site is straightforward using standard anatomic landmarks. There is evidence that the steroid does not need to enter the sheath. The role of sonographic guidance is therefore debatable. Injection of the tendon sheath with a corticosteroid is effective over weeks to months in more than half of people. Steroid injection is not effective in people with Type 1 diabetes. If triggering persists 2 months after injection, a second injection can be considered. Most specialists recommend no more than 3 injections because corticosteroids can weaken the tendon and there is a possibility of tendon rupture. Triggering is predictably resolved by a relatively simple surgical procedure under local anesthesia. The surgeon will cut the sheath that is restricting the tendon. The patient should be awake in order to confirm adequate release. On occasion, triggering does not resolve until a slip of the FDS (Flexor digitorum superficialis) tendon is resected.  One study suggests that the most cost-effective treatment is up to two corticosteroid injections followed by open release of the first annular pulley. Choosing surgery immediately is an option and can be affordable if done in the office under local anesthesia. Surgery Trigger digits can be released percutaneously using a needle. This is not used for the thumb where the digital reves are at greater risk. Postoperative outcome In some trigger finger patients, tenderness is found in the dorsal proximal interphalangeal (PIP) joint. Dorsal PIP joint tenderness is more common in trigger fingers than previously thought. It is also associated with higher and prolonged levels of postoperative pain after A1 pulley release. Therefore, patients with pre-existing PIP tenderness should be informed about the possibility of sustaining residual minor pain for up to 3 months after surgery. References External links Video of Trigger Finger Release Surgery on YouTube American Academy of Orthopaedic Surgeons information on trigger finger Information from the Mayo Clinic. Discover the Gil Baumgarten popular books. Find the top 100 most popular Gil Baumgarten books.

Best Seller Gil Baumgarten Books of 2024

  • Salvation synopsis, comments

    Salvation

    Meghan O'Flynn

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  • The Wonderful Wizard of Oz synopsis, comments

    The Wonderful Wizard of Oz

    L. Frank Baum

    An Apple Books Classic edition. You’ve seen the iconic 1939 movie, but do you know about the talking field mice, the Winkies, and the Witch of the North that appear in the original...

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    All Fired Up

    Kathryn Shay

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    Noxious

    Lexy Timms

    Stop setting yourself on fire to keep someone else warm. Brady and Levi have been together since high school, since before he became famous and started thinking only about himself....

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    Dracula

    Bram Stoker

    An Apple Books Classic edition. Few characters have seized readers’ imaginations quite like Count Dracula of Transylvania, the hero of Bram Stoker’s classic. The 1897 novel put vam...

  • The Holy Bible - King James Version synopsis, comments

    The Holy Bible - King James Version

    King James

    Holy Bible King James Version Few Sample Paragraphs from The Holy Bible eBook, Genesis (OT) 1 Gen. 1 IN the beginning God created the heaven and the earth. 2 And the earth was with...

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    The Four Loves

    C. S. Lewis

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    Finding Cinderella

    Colleen Hoover

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    The Honeymoon Homicide

    J. R. Mathis & Susan Mathis

    Enjoy this SmallTown Murder Mystery Featuring A Unique Sleuthing Couple I'm Father Tom Greer, a Catholic Priest in a smalltown parish who never expected this . . . When I came...

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    How to Choose a Guy in 10 Days

    Lila Monroe

    The only thing more hilarious than the movies is… real life?! Fall in love with the sizzling grumpysunshine romantic comedy perfect for fans of Sophie Kinsella and Ali Hazlewood! ...

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    Silenced Girls

    Roger Stelljes

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    His Girl Next Door

    Khardine Gray

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    Get Lucky

    Lila Monroe

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  • Meditations synopsis, comments

    Meditations

    Emperor of Rome Marcus Aurelius

    Meditations is a series of personal writings by Marcus Aurelius, Roman Emperor 161–180 CE, setting forth his ideas on Stoic philosophy.

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    Good Guy

    Kate Meader

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    Teach Me

    Cassandra Dean

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    The Next Girl

    Carla Kovach

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    The Cupcake Cottage

    Jean Oram

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    The Seduction Series Boxset

    Roxy Sloane

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  • Dream Psychology synopsis, comments

    Dream Psychology

    Sigmund Freud

    An Apple Books Classic edition. Written by the founding father of psychoanalysis, Sigmund Freud’s 1899 book is the definitive text on learning to interpret dreams. Freud’s groundbr...

  • Alpha synopsis, comments

    Alpha

    Sybil Bartel

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    The Great Gatsby

    F. Scott Fitzgerald

    An Apple Books Classics edition. The Roaring Twenties are in full effect in F. Scott Fitzgerald’s riveting classic. Manabouttown Jay Gatsby seems to have it all, including loads of...

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    Bewitching a Highlander

    Roma Cordon

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    His Own Heaven

    Jennie Kew

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    Dark Psychology and Manipulation

    Margaret Morrison

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    Awaken Me

    Jenna Jacob

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    Silver Santa

    Lacey Silks

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    Wuthering Heights

    Emily Brontë

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    Caught Up with the Captain

    Kait Nolan

    Can a retired naval commander and the love he left behind overcome a 34yearold secret to find their way to a second chance? Captain Mitchell Greyson is a man who believes in duty. ...

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    The Three Little Pigs

    Mark Lesky

    Classic fairy tales, legends and folk stories in short version without violence retold with lovely illustrations in simple language. Perfect for reading aloud to small chi...

  • The Stoic Mind synopsis, comments

    The Stoic Mind

    Addy Osmani & GoLimitlesss

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    Nothing to Hide

    Scarlett Finn

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    Eternal

    W.J. May

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    Coffee Girl

    Sophie Sinclair

    Mackenzie "Kiki" Forbes finds herself in a pickle. Either become her snarky sister's nanny, or move halfway across the country to work as assistanttothestylist of a ...

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    Law of Attraction

    Jordan Hollis

    How to Finally Overcome the Hurdles of Manifesting Proven, effective and enjoyable ways to help you manifest faster… Right now, think of something that makes you successful. If you...

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    Never Enough

    Lexy Timms

    Be good enough never is... Anthony Accardi is a man on a mission: make his father's watch company a success while bringing in millions of dollars. To do that, he needs an assi...

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    Saltwater Cove

    Amelia Addler

    Second chances...and the secrets that sabotage them. At 48 years old, Margie Clifton never expected to be starting her life all over again. But when her brother gifts her a propert...

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    Rogue Alpha

    Kimber White

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    Hard Love

    Peyton Banks

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    Masters of Restraint

    Ines Johnson

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    Teased by Fire

    Molly O'Hare

    From USA Today bestselling author Molly O’Hare comes an enemiestolovers, older brother’s best friend, romantic comedy with a curvy, antisocial, supernaturalobsessed, allyearround h...

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    Inception of Gold

    Lexy Timms

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  • The Adventures of Sherlock Holmes synopsis, comments

    The Adventures of Sherlock Holmes

    Arthur Conan Doyle

    An Apple Books Classic You get not one, not two, but 25 gripping mysteries in Arthur Conan Doyle’s first of five collections of Sherlock Holmes short stories. Follow the brilliant ...

  • The Odyssey synopsis, comments

    The Odyssey

    Homer

    An Apple Books Classic edition. Homer’s eighthcentury epic poem is a companion to The Iliad . It tells the story of Odysseus, who journeys by ship for 10 years after the Trojan War...

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    A Green Kind of Witch

    Sierra Cross

    Cinderella crossed with Mean Girls.   That's what Hazel's daily existence feels like. Born to a family of elegant yet shallow Beige Witches, seventeen y...

  • Pride and Prejudice synopsis, comments

    Pride and Prejudice

    Jane Austen

    An Apple Books Classic edition. Jane Austen’s beloved classic opens with this witty and very memorable line: “It is a truth universally acknowledged, that a single man in possessio...

  • The Target synopsis, comments

    The Target

    Lexy Timms

    When you seek revenge be sure to dig two graves… Revenge was the only thing I had going for me. It kept me awake at night and drove me into desperate situations in dive bars across...

  • Death at Hazel House synopsis, comments

    Death at Hazel House

    Betty Rowlands

    ‘Riveting, can't put it down! I love this story… a wonderfully twisted tale of a crime that has more twists than I thought possible... fantastic.’ Goodreads Reviewer, 5 stars ...

  • Enemies With Benefits synopsis, comments

    Enemies With Benefits

    Roxie Noir

    I don’t love him. I don’t even like him. I just want him. Eli Loveless was my nemesis from the first day of kindergarten until we graduated high school. Everything I did, he had to...

  • School of Potential synopsis, comments

    School of Potential

    W.J. May

    USA Today Bestselling author, W.J. May brings you a continuation of the international bestselling series, The Chronicles of Kerrigan! Come back and enjoy the famous characters, or ...