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Music video by Rihanna performing Take A Bow. YouTube view counts pre-VEVO: 66288884. (C) 2008 The Island Def Jam Music Group.
Due to so many request I decided to upload this epic track as well. Enjoy it bros!
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Macklemore & Ryan Lewis present the official music video for Can't Hold Us feat. Ray Dalton. Can't Hold Us on iTunes: https://itunes.apple.com/us/album/cant-...
This video accidentally turned out kind of sad, ME SO SOWWY IT NOT POSED TO BE SAD WHO WANTS HUGS AND COOKIES? Also, FYI for anyone attempting this, it takes...
So i was pretty hesitant to make this video... but after all of your request, here is my Draw My Life video! Check out my 2nd Channel for more vlogs: http://...
A substitute teacher from the inner city refuses to be messed with while taking attendance.
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Buy on iTunes: http://www.Smarturl.it/TTT Amazon: http://idj.to/svJVGM Music video by Rihanna performing Where Have You Been. ©: The Island Def Jam Music Group.
- For the Belgian band, see Triggerfinger. "Trigger finger" can also mean the finger which is used to operate the trigger of a gun or of a power tool.
|Classification and external resources|
|Look up trigger finger in Wiktionary, the free dictionary.|
Trigger finger, trigger thumb, or trigger digit, is a common disorder characterized by catching, snapping or locking of the involved finger flexor tendon, associated with dysfunction and pain. A disparity in size between the flexor tendon and the surrounding retinacular pulley system, most commonly at the level of the first annular (A1) pulley, results in difficulty flexing or extending the finger and the “triggering” phenomenon. The label of trigger finger is used because when the finger unlocks, it pops back suddenly, as if releasing a trigger on a gun.
Diagnosis is made almost exclusively by history and physical examination alone. More than one finger may be affected at a time, though it usually affects the index, thumb, middle, or ring finger. The triggering is usually more pronounced late at night and into the morning, or while gripping an object firmly.
When corticosteroid injection fails, the problem is predictably resolved by a relatively simple surgical procedure (usually outpatient, under local anesthesia). The surgeon will cut the sheath that is restricting the tendon.
One recent study in the Journal of Hand Surgery suggests that the most cost-effective treatment is two trials of corticosteroid injection, followed by open release of the first annular pulley. Choosing surgery immediately is the most expensive option and is often not necessary for resolution of symptoms. More recently, a randomized controlled trial comparing corticosteroid injection with needle release and open release of the A1 pulley reported that only 57% of patients responded to corticosteroid injection (defined as being free of triggering symptoms for greater than 6 months). This is compared to a percutaneous needle release (100% success rate) and open release (100% success rate).  This is somewhat consistent with the most recent Cochrane Systematic Review of corticosteroid injection for trigger finger which found only 2 pseudo-randomized controlled trials for a total pooled success rate of only 37%.  However, this systematic review has not been updated since 2009.
There is a theoretical greater risk of nerve damage associated with the percutaneous needle release as the technique is performed without seeing the A1 pulley.
Investigative treatment options with limited scientific support include: non-steroidal anti-inflammatory drugs; occupational or physical therapy; steroid iontophoresis treatment; splinting; therapeutic ultrasound, phonophoresis (ultrasound with an anti-inflammatory dexamethasone cream); and Acupuncture.
The natural history of disease for trigger finger remains uncertain.
Recurrent triggering is unusual after successful injection and rare after successful surgery.
While difficulty extending the proximal interphalangeal joint may persist for months, it benefits from exercises to stretch the finger straighter.
More than one potential causes have been described but the etiology remains idiopathic. It has also been called stenosing tenosynovitis (specifically digital tenovaginitis stenosans), but this may be a misnomer, as inflammation is not a predominant feature.
It has been speculated 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 scientific evidence for and against hand use as a cause exist. While the mechanism is unclear, there is some evidence that triggering of the thumb is more likely to occur following surgery for carpal tunnel syndrome.
- Makkouk et al. (2008). "Trigger finger: etiology, evaluation, and treatment". Curr Rev Musculoskelet Med 1 (2): 92–6.
- Eisen, Jonathan. "Trigger finger surgery. Fun.". Retrieved 17 May 2013.
- Baumgarten KM, Gerlach D, Boyer MI (2007 Dec). "Corticosteroid injection in diabetic patients with trigger finger. A prospective, randomized, controlled double-blinded study". Journal of Bone and Joint Surgery (American) 89 (12): 2604–2611. PMID 18056491.
- Kerrigan CL, Stanwix MG (2009 Jul–Aug). "Using evidence to minimize the cost of trigger finger care". J Hand Surg Am 34 (6): 997–1005. PMID 19643287.
- Sato SS, et al (2012). "Treatment of trigger finger: randomized clinical trial comparing the methods of corticosteroid injection, percutaneous release and open surgery". Rheumatology 51: 93–99. PMID 22039269.
- Peters-Veluthamaningal C, et al (2009). The Cochrane Library (1).
- Bain GI, et al (1995). "Percutaneous A1 pulley release: a cadaveric study". J Hand Surg Am 20: 781–784.
- Gorsche R, Wiley JP, Renger R, Brant R, Gemer TY, Sasyniuk TM (1998 Jun). "Prevalence and incidence of stenosing flexor tenosynovitis (trigger finger) in a meat-packing plant". J Occup Environ Med 40 (6): 556–60. PMID 9636936.
- Kasdan ML, Leis VM, Lewis K, Kasdan AS (1996 Nov). "Trigger finger: not always work related". J Ky Med Assoc 94 (11): 498–9. PMID 8973080.
- King, Bradley A.; Stern, Peter J.; Kiefhaber, Thomas R. (2013). "The incidence of trigger finger or de Quervain's tendinitis after carpal tunnel release". Journal of Hand Surgery (European Volume) 38 (1): 82–3. doi:10.1177/1753193412453424.
- Video of Trigger Finger Release Surgery on YouTube
- Hand World Trigger Finger Page
- American Academy of Orthopaedic Surgeons information on trigger finger
- Overview page from a UK surgeon
- Information from the Mayo Clinic
- Information from eMedicine