Fingers of the madonna M34.8

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 23.01.2026

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Definition
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Rejuvenation of the end finger joints in sclerodactyly in the context of progressive systemic scleroderma. Often associated with painful cap necrosis and calcinosis, sclerosed and pain-sensitive cuticle, shortening of fingers by acroosteolysis.

Therapy
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Treatment of the underlying disease. In addition, protection from the cold (gloves, bag heaters, heat packs (e.g. Lavatherm). Bland greasy hand care (e.g. Eucerin W/O, ash base ointment). Rhagades can be taped with hydrocolloid dressing (e.g. Varihesive extra thin). Maintain manual skills e.g. by knitting, playing musical instruments etc. as well as physiotherapy or manual movement therapy.

Remember! Kneading in hulled, heated millet promotes mobility and leads to lasting warming and regreasing of the hands!

Incoming links (2)

Acroosteolysis; Marfan syndrome;

Disclaimer

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Last updated on: 23.01.2026