The Scleroderma Hand: Manifestations of Disease and Approach to Management

Ariel A. Williams, Hannah M. Carl, Scott Lifchez

Research output: Contribution to journalArticlepeer-review

Abstract

Scleroderma is a rare autoimmune connective tissue disorder that often affects the hands. Manifestations in the hands include calcium deposits within the soft tissues that cause pain and may ulcerate through the skin, digital ischemia resulting in chronic wounds and digital gangrene, and joint contracture. Because of the underlying disease, patients with scleroderma have poorly vascularized tissue and a deficient soft tissue envelope, which make surgery particularly challenging. However, when undertaken with care, surgical intervention is often the best option for addressing the disabling hand conditions that so often accompany this disease.

Original languageEnglish (US)
JournalJournal of Hand Surgery
DOIs
StateAccepted/In press - Jan 1 2018

Keywords

  • calcinosis
  • contracture
  • Raynaud's
  • Scleroderma
  • vasculopathy

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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