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Knuckle pads are benign subcutaneous fibrotic nodules that are seen in the finger joints and/or the extensor area of the foot. [6] [7] [8] From a clinical perspective, these are well-defined, non-compressible, freely moveable lesions that resemble warts and primarily affect the dorsal portion of the proximal interphalangeal (PIP) and, less frequently, the metacarpophalangeal (MCP) joints.
Manual work: [24] [29] a 2023 paper by researchers at the University of Groningen Medical Centre and Oxford University, "Dupuytren's disease is a work-related disorder: results of a population-based cohort study", found that people whose jobs involved significant manual work were 1.29 times more likely to develop Dupuytren's disease than others ...
Garrod's pads are named after Archibald Garrod who first documented them in 1904 in association with Dupuytren's contracture. [3] H.A. Bird described them as an incidental finding in a professional violinist and proposed that they arise in such cases due to repeated extreme tension of the extensor tendons over the interphalangeal joints. [4]
[3] [4] A similar disease is Dupuytren's disease, which affects the hand and causes bent hand or fingers. As in most forms of fibromatosis, it is usually benign and its onset varies with each patient. [5] The nodules are typically slow growing [2] [5] and most often found in the central and medial portions of the plantar fascia. [2]
A hand imitating an ulnar claw. The metacarpophalangeal joints of the 4th and 5th fingers are extended and the Interphalangeal joints of the same fingers are flexed.. An ulnar claw, also known as claw hand or ‘Spinster’s Claw’, is a deformity or an abnormal attitude of the hand that develops due to ulnar nerve damage causing paralysis of the lumbricals.
A finger contracture caused by Dupuytren's contracture. Muscle contractures can occur for many reasons, such as paralysis , muscular atrophy , and forms of muscular dystrophy . Fundamentally, the muscle and its tendons shorten, resulting in reduced flexibility.
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The white tumor infiltrates the adjacent skeletal muscle (red tissue – lower left) and fat (yellow tissue – upper left). This tendency for invasion of adjacent normal tissues and structures is the reason that desmoid-type fibromatosis has a relatively high rate of local recurrence, even after surgical removal. Specialty: Oncology
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