Abstract

Tendon friction rubs (TFR) are a grating, “squeaking” sensation detected on passive or active motion of the affected tendon in systemic sclerosis (SSc). TFR are associated with the presence of diffuse cutaneous SSc (dSSc). In addition, TFR are also associated with more severe dSSc – greater skin thickening, joint contractures, greater physical disability, higher prevalence of cardiac or renal involvement, and decreased survival. TFR are a frequent physical finding in patients with early dSSc that should be routinely assessed when a patient presents with a constellation of signs and symptoms that suggest SSc, including recent onset arthritis, Raynaud’s phenomenon and puffy, swollen fingers.

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