Figure 3 | Scientific Reports

Figure 3

From: Role and effectiveness of complex and supervised rehabilitation on overall and hand function in systemic sclerosis patients—one-year follow-up study

Figure 3

Clinical and radiological manifestations of pathological changes in the hands in SSc patients’: thickening of the skin and subcutaneous tissue (A1,B1); the palpable fibrosis of the palmar apponeurosis and flexores muscles tendons of the fingers (A1,B1); claw-type deformity of the fingers: a limited extension in proximal and distal interphalangeal joints (PIP, DIP) (A1,B1); a hyperextension in metacarpophalangeal joints (MCP) (A1,B1); the digital ulcer (DU) of distal phalanx of the 3th finger of the left hand (A1). Resorption of bilateral 1st, 2nd and 3rd distal phalanxes (A2,B2); joint space narrowing of MCP, PIP and DIP joints (A2,B2); errosions and juxta-articular osteopenia (A2,B2); acro-osteolysis of the distal phalanxes of the thumbs (A2) and 1st, 2nd, 3rd of the both hands B2); calcinosis of the first fingertips (A2).

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