nstructions:
“Please can you show me the palms of your hands and straighten your fingers”
Look:
- Which fingers are affected
- Degree of metacarpo phalangeal joint (MCP) and proximal interphalangeal joint(PIP) flexion
- Cords
- Pits
- Nodules or palpable masses
- Scars of surgery including previous skin graft
- Webspace contractures