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Heberden's nodes are hard or bony swellings that can develop in the distal interphalangeal joints (DIP) (the joints closest to the end of the fingers and toes). [1] They are a sign of osteoarthritis and are caused by formation of osteophytes (calcific spurs ) of the articular (joint) cartilage in response to repeated trauma at the joint.
Osteoarthritis: Causes, Symptoms & Treatment. This article was reviewed by Craig Primack, MD, FACP, FAAP, MFOMA. Osteoarthritis is the most common form of arthritis, affecting more than 32.5 ...
They are seen in osteoarthritis, where they are caused by the formation of calcific spurs of the articular (joint) cartilage. Much less commonly, they may be seen in rheumatoid arthritis, where nodes are caused by antibody deposition to the synovium. A Bouchard's node on the proximal interphalangeal joint of the index finger of a 64 year old man.
Osteoarthritis commonly affects the hands, feet, spine, and the large weight-bearing joints, such as the hips and knees, although in theory, any joint in the body can be affected. As osteoarthritis progresses, movement patterns (such as gait), are typically affected. [1] Osteoarthritis is the most common cause of a joint effusion of the knee. [15]
Inflammatory arthritis can sometimes cause symptoms in parts of the body other than the joints, like the eyes, heart, or lungs. As arthritis progresses, joint damage can get worse.
Osteoarthritis usually occurs as an individual ages and often affects the hips, knees, shoulders, and fingers. [7] [11] Rheumatoid arthritis is an autoimmune disorder that often affects the hands and feet. [7] Other types of arthritis include gout, lupus, and septic arthritis. [7] [12] These are inflammatory based types of rheumatic disease. [2]
Characteristic symptoms including pain, deformity and stiffness. Pain intensity and incapability (limited function) are notably variable and do not correspond with arthritis severity on radiographs. Osteoarthritis of the wrist can be idiopathic, but it is mostly seen as a post-traumatic condition.
Swan neck deformity has many of possible causes arising from the DIP, PIP, or even the MCP joints. In all cases, there is a stretching of the volar plate at the PIP joint to allow hyperextension, plus some damage to the attachment of the extensor tendon to the base of the distal phalanx that produces a hyperflexed mallet finger.
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