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 flexor retinaculum is continuous with the palmar carpal ligament, and deeper with the palmar aponeurosis. The ulnar artery and ulnar nerve, and the cutaneous branches of the median and ulnar nerves, pass on top of the flexor retinaculum. On the radial side of the retinaculum is the tendon of the flexor carpi radialis, which lies in the groove on the greater multangular between the attachments of the ligament to the bone.