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Heberden's knotM15.1
Synonym(s)
Lifting knots; Lifting `s nodes; Siphoning Arthrosis
DefinitionThis section has been translated automatically.
Arthrosis of the finger joints with nodular distension of the cortex on the radial side of the end phalanges. The painless, periarticular, hard, subcutaneous, non-displaceable nodular formations in the lateral area of the finger end joints are called lifting-end nodules. They are often accompanied by local inflammatory symptoms and are connected to the joint apparatus (exostoses). The analogous changes in the area of the middle joints are called Bouchard nodes.
Occurrence/EpidemiologyThis section has been translated automatically.
Autosomal recessive inheritance in the context of polyarthrosis is described.
ManifestationThis section has been translated automatically.
- Traumatic forms: Limited to individual fingers, occurring mainly in men.
- Idiopathic forms: Occurring mainly in women from the 5th decade of life.
LocalizationThis section has been translated automatically.
Base of the finger end phalanges, especially 2nd, 3rd and 5th fingers.
Clinical featuresThis section has been translated automatically.
Pea-size, hard, rarely pressure-painful bulges with well movable overlying skin. Possible lateral deviation of the finger ends. S.a. Bouchardian knot of the distal finger joints.
Differential diagnosisThis section has been translated automatically.
TherapyThis section has been translated automatically.
Usually not necessary. General measures such as cold protection and heat applications are recommended.