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Proximal interphalangeal flexion contractures in systemic sclerosis

Proximal interphalangeal flexion contractures in systemic sclerosis
There is skin blanching over the PIP joint associated with severe PIP contractures. There is also skin breakdown (arrow) over the distal interphalangeal joint of the small finger.
PIP: proximal interphalangeal.
Reproduced with permission from: Nalebuff EA. Surgery in patients with systemic sclerosis of the hand. Clin Orthop Rel Res 1999; 91:366. Copyright © 1999 Lippincott Williams & Wilkins.
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