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Climber's finger is one of the most common climbing injuries within the sport of rock climbing, accounting for about 30% of finger injuries seen in climbers. [1] It is an overuse injury that usually manifests in a swollen middle or ring finger due to a damaged flexor tendon pulley , normally the A2 or A4 pulley.
Heberden's nodes typically develop in middle age, beginning either with a chronic swelling of the affected joints or the sudden painful onset of redness, numbness, and loss of manual dexterity. This initial inflammation and pain eventually subsides, and the patient is left with a permanent bony outgrowth that often skews the fingertip sideways.
Being a misnomer that has persisted into modern times, [33] the ganglion cyst is unrelated to the neural ganglion or ganglion cell; its etymology traces back to the ancient Greek γάγγλιον, a 'knot' or 'swelling beneath the skin', [34] which extends to the neural masses by analogy.
The joint closest to the tip is the distal interphalangeal (DIP) joint. The next joint, moving closer to the hand, is the proximal interphalangeal (PIP) joint. The thumb differs by only having two bones and one interphalangeal joint. [10] The injured finger may be examined to determine where the pain is worst. [3]
Anatomically, it is said that the knuckles consist of the metacarpophalangeal [1] (MCP) and interphalangeal (IP) joints of the finger. The knuckles at the base of the fingers may be referred to as the 1st [1] or major knuckles while the knuckles at the midfinger are known as the 2nd [2] and 3rd, or minor, knuckles.
In Fedorczyk’s experience, she has found that people with hyper-mobility—or extremely flexible joints, per Cleveland Clinic—tend to be the habitual knuckle crackers. Egbogah adds that joint ...
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