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Heberden's nodes - Named for William Heberden (1710-1801)[1] - are hard or bony swellings which can develop in the distal interphalangeal joints (DIP) (the furthest joints before the tips of the fingers or toes.) They are a sign of osteoarthritis, and are caused by formation of calcific spurs of the articular (joint) cartilage.
Heberden's nodes typically develop in middle age, beginning either with a chronic swelling of the affected joints or the sudden painful onset of redness, numbness, and loss of manual dexterity. This initial inflammation and pain eventually subsides, and the patient is left with a permanent bony outgrowth that often skews the fingertip sideways. Bouchard's nodes may also be present; these are similar bony growths in the proximal interphalangeal(PIP) joints (middle joints of the fingers), and are also associated with osteoarthritis.
Heberden's nodes are more common in women than in men, and there seems to be a genetic component involved in predisposition to the condition.
[edit] References
- ^ synd/37 at Who Named It
[edit] External links
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Diseases of the musculoskeletal system and connective tissue (M, 710-739) |
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| Arthropathies |
Arthritis ( Septic arthritis, Reactive arthritis, Rheumatoid arthritis, Psoriatic arthritis, Felty's syndrome, Juvenile idiopathic arthritis, Still's disease) - crystal ( Gout, Chondrocalcinosis) - Osteoarthritis ( Heberden's node, Bouchard's nodes)
acquired deformities of fingers and toes (Boutonniere deformity, Bunion, Hallux rigidus, Hallux varus, Hammer toe, Swan neck deformity) - other acquired deformities of limbs (Valgus deformity, Varus deformity, Wrist drop, Foot drop, Flat feet, Club foot, Unequal leg length, Winged scapula)
patella (Luxating patella, Chondromalacia patellae)
Protrusio acetabuli - Hemarthrosis - Arthralgia - Osteophyte
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| Systemic CT disorders |
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| Dorsopathies |
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| Soft tissue disorders |
muscle: Myositis ( Pyomyositis) - Myositis ossificans ( Fibrodysplasia ossificans progressiva)
synovium and tendon: Synovitis/Tenosynovitis (Calcific tendinitis, Stenosing tenosynovitis, Trigger finger, DeQuervain's syndrome) - Irritable hip - Ganglion cyst
bursa: bursitis (Olecranon, Prepatellar, Trochanteric) - Baker's cyst
fibroblastic disorders: Dupuytren's contracture - Fasciitis (Plantar fasciitis, Nodular fasciitis, Necrotizing fasciitis) - Fibromatosis
shoulder lesions: Adhesive capsulitis - Rotator cuff tear - Subacromial bursitis
enthesis: enthesopathies (Iliotibial band syndrome, Achilles tendinitis, Patellar tendinitis, Golfer's elbow, Tennis elbow, Metatarsalgia, Bone spur, Tendinitis)
other, NEC: Muscle weakness - Rheumatism - Myalgia - Neuralgia - Neuritis - Panniculitis - Fibromyalgia
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| Osteopathies |
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| Chondropathies |
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