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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.
In smaller joints, such as at the fingers, hard bony enlargements, called Heberden's nodes (on the distal interphalangeal joints) or Bouchard's nodes (on the proximal interphalangeal joints), may form, and though they are not necessarily painful, they do limit the movement of the fingers significantly.
One of the primary causes of acquired hand deformity is trauma. Trauma can be described by an abrupt or sudden tissue injury caused by violent forces that can be classified into varying groups: blunt trauma, penetrating trauma, and deceleration trauma. Blunt force is indicated by forceful impact causing injury to the body; penetrating trauma is ...
This impingement can cause pain in both upper and lower limbs and a numbness or tingling sensations in the hands and feet because the nerves are supplying sensation to their dermatomes. [6] Osteophytes on the fingers or toes are known as Heberden's nodes (if on the distal interphalangeal joint) or Bouchard's nodes (if on the proximal ...
Heberden's node: William Heberden: rheumatology: osteoarthritis: same as bouchard's nodes, but over dip joints Hegar's sign: Ernst Ludwig Alfred Hegar: obstetrics: normal pregnancy: softening of cervical isthmus appearing between 4th and 6th weeks (usually) Hess test: Alfred Fabian Hess: internal medicine: capillary fragility
Other drug therapies, such as corticosteroids, have shown to decrease nodular size, however, it can increase the risk of infection as well. [24] Local corticosteroid injections seems to be the most studied treatment for rheumatoid nodules as of now. Surgery to have the nodule removed is another option that can be done to treat rheumatoid nodules.
Bouchard's nodes are hard, bony outgrowths or gelatinous cysts on the proximal interphalangeal joints (the middle joints of fingers or toes). They are seen in osteoarthritis , where they are caused by the formation of calcific spurs of the articular (joint) cartilage .
Caplan syndrome presents with cough and shortness of breath in conjunction with features of rheumatoid arthritis, such as painful joints and morning stiffness. Examination should reveal tender, swollen metacarpophalangeal joints and rheumatoid nodules; auscultation of the chest may reveal diffuse crackles that do not disappear on coughing or taking a deep breath.