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  10.5.5.2 IBM in Images.

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

F1large

Severe muscle wasting of the thighs (quadriceps) and forearms.

thigh

Wasting of the thigh muscle (calf not yet affected).

f2large

Severe muscle wasting of the forearms.

Greenberg2019a

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

Greenberg2019b

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