PMC5326079_01
PMC5326079_02
Clinical signs of scleroderma on the hands showing the flexion contracture associated with sclerodactyly and digital ulcers
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Physical examination of the patient revealed that SSc affected mainly her hands with a fingers movementlimitation, associated with sclerodactyly complicated by digital ulcers, moderate lung fibrosis with a flexion contracture and a claw-like deformity (Figure 1).
Restricted mouth opening and trajectory deviation to the right side
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The mouth opening was limited to 23 mm and the mandible deviated to the right side (Figure 2).
Magnetic resonance imaging (MRI) sagittal slices: A) MRI in closed-mouth position showing mandibular condylar process resorption, joint space decreased anddegenerative alterations of the disk; B) MRI in open-mouth position showing hypomobility of mandibular condylar
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TMJ, bilateral mandibular condylar process resorption, and disk deformations with heterogeneous appearance (Figure 3 and Figure 4).
Magnetic resonance imaging (MRI) coronal slices showing bilateral subchondral geodes and thinned cortical of mandibular condylar process
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TMJ, bilateral mandibular condylar process resorption, and disk deformations with heterogeneous appearance (Figure 3 and Figure 4).