In another type of systemic scleroderma, known as diffuse cutaneous systemic scleroderma, the fibrosis affects large areas of skin, including the torso and the upper arms and legs, and often involves internal organs.n the third type of systemic scleroderma, called systemic sclerosis sine scleroderma (sine means without in Latin), fibrosis affects one or more internal organs but not the skin.
The UCL, or ulnar collateral. ligament, is located in. the middle thumb joint, and provides support to. the thumb during grip. and pinch. It is the most. common ligament injury.
â¢ Tests for ulnar nerve motor weaknessâ¢ The patient is asked to hold a piece of paper between their thumb and radial side of indexâ¢ Positive test: as the paper is pulled away by the examiner, if ulnar motor weakness is present, the patient will flex the thumb IP joint in an attempt to hold onto the paper.