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.
The lunula or the white âhalf moonâ at the base or proximal end of the fingernail is particularly smooth, flat and shiny. The whiteness of the lunula is still a matter of controversy but its absence â especialy when the lunula is not present in the first finger (thumb) â could be described as notable and important.