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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.
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.
Diagnosis is typically based on examination. The ability to shine through the bump or any past decrease in size supports the diagnosis of the bump as a ganglion cyst. [4] Ganglion cysts are usually obvious upon observation. Medical imaging may be considered on infrequent occasions to rule out another diagnosis. [3] [4] Treatment is not necessary.
The mass occurs in one of the joints between the carpus and metacarpus of the hand, called the carpometacarpal joints, where a small immovable protuberance [1] occurs when this joint becomes swollen or bossed. The joint between the index metacarpal and the capitate is a fibrous non-mobile joint. Some people have a gene that leads to this growth.
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.
This group of tumors can be divided into different subsets according to their site, growth pattern, and prognosis. [ 5 ] [ 5 ] : 361 Localized/nodular TGCT (L-TGCT), sometimes referred to as “giant cell tumor of the tendon sheath” ; [ 3 ] : 100 is a common tumor that presents as a slow-growing, encapsulated, localized and limited bump, most ...
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Mallet finger is acquired due to injury to the thin extensor tendon that functions to straighten the end (DIP) joint of a finger. [8] Jamming of the finger induces a rupture of the extensor tendon or a broken bone at the tendon's site of attachment. [9] This results in a droopy and crooked appearance of the end joint of the finger, resembling a ...