Heberden's knot M15.1

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

Lifting knots; Lifting `s nodes; Siphoning Arthrosis

Definition
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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/Epidemiology
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Autosomal recessive inheritance in the context of polyarthrosis is described.

Manifestation
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  • Traumatic forms: Limited to individual fingers, occurring mainly in men.
  • Idiopathic forms: Occurring mainly in women from the 5th decade of life.

Localization
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Base of the finger end phalanges, especially 2nd, 3rd and 5th fingers.

Clinical features
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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 diagnosis
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Therapy
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Usually not necessary. General measures such as cold protection and heat applications are recommended.

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 29.10.2020