Open AccessSelective involvement of the first carpometacarpal joint in scleroderma
Author(s) -
Donald Resnick,
Guerdon Greenway,
V Vint,
Cal Robinson,
Samantha L. Piper
Publication year - 1978
Publication title -
american journal of roentgenology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.294
H-Index - 196
eISSN - 1546-3141
pISSN - 0361-803X
DOI - 10.2214/ajr.131.2.283
Subject(s) - medicine , subluxation , carpometacarpal joint , calcinosis , scleroderma (fungus) , wrist , radiography , tendon , anatomy , bursitis , calcification , radiology , pathology , osteoarthritis , alternative medicine , inoculation
Selective involvement of the first carpometacarpal joint is described in four women with scleroderma. Radiographic abnormalities at this site included osseous erosion, radial subluxation of the metacarpal base, and (in two patients) intraarticular calcification. Perlarticular osseous erosions were noted at adjacent locations in three patients. The cause of this distinctive wrist finding in scleroderma is unknown, but its similarity to alterations in other connective tissue diseases suggests that muscular and tendon imbalance may be important in producing bone erosion and subluxation at this articulation.