%0 Journal Article
%T Evaluation of the chronic pathologies in terminal phalanges of scleroderma patients by plain radiographs
%A Mehmet Erc¨¹ment D£¿£¿en
%J -
%D 2018
%X Purpose: We aimed to reveal terminal phalangeal changes in scleroderma patients by direct radiography. Materials and methods: Bilateral hand-wrists radiographs of eight women with a mean age of 36.4 years (range, 22-48 years) who were on follow-up with the diagnosis of scleroderma were retrospectively evaluated for acral (terminal phalanx) pathologies and other hand-wrist changes. Results On bilateral hand-wrist radiographs, flexion contractures with different degrees in 62.5% (n=5/8) of cases, claw hand and claw hand development process in 25% (n=2/8) of cases, arthritic and degenerative changes in various localizations of the intercarpal , carpometacarpal, metacarpophalangeal and interphalangeal joints in 75% (n=6/8) of cases, various degrees of periarticular osteoporosis were observed. In 25% (n=2/8) of cases, soft tissue calcifications were detected distal to the fingers. Terminal phalanx resorption (acroosteolysis) and erosion were observed in 62.5% (n=2/8) cases. It has been determined that these periosteal resorption and erosions are more likely to affect the palmar sides of the taft. Acroosteolysis was milder and more limited in the two cases, and in the three cases, the terminal phalanges were seen as prominent cusps. Conclusion: Direct radiography has been found to be useful in showing terminal phalange pathologies, especially acroosteolysis in chronic scleroderma cases, and this should be the first imaging method to be applied
%K Skleroderma
%K akroosteoliz
%K radiografi
%K elbilek
%U http://dergipark.org.tr/mersinsbd/issue/41117/460823