⚁ 9.5 IBM in Images.

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Mike

Characteristic position of fingers caused by severe forearm weakness (arrow).

F1large

s-IBM patient who has typical prominent weakness and atrophy of quadriceps and finger flexors.
(Engel, W. K., & Askanas, NEUROLOGY 2006;66(Suppl 1):S20-S29)

thigh

Wasting of the thigh muscle (calf not yet affected).
https://neuromuscular.wustl.edu/musdist/quad.html

f2large

Severe muscle wasting of the forearms.
(Amato-Barohn, 2009)

Greenberg2019a

Weakness of finger flexion in patients attempting hand grip (make a fist) with partial involvement (above) and end-stage (below).
(Greenberg, 2019)

Greenberg2019b