Scleroderma of the hand

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.