Scleroderma manifests itself in patterns ranging from localized to systemic types.
Mainly the systemic type, called systemic sclerosis, involves the hand, leading to Raynaud’s phenomenon, ulcerations, arthropathies,
and calcifications. Systemic sclerosis causes significant functional loss of the hand.
Surgical intervention has been controversial because of anticipated wound healing
problems arising from diminished blood circulation. Nevertheless, a surgical approach
is indicated when conservative and pharmacologic treatment options fail. We review
the literature and discuss the surgical techniques used for the most common manifestations
of systemic sclerosis in the hand.
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© 2005 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.
