Knuckle Pads

Knuckle Pads are the benign thickening of the skin, nodules about the size of a split pea on the dorsal surface of the interphalangeal joint and are occasionally seen in children.

They are produced by hyperplasia and accumulation of fibrous tissue resulting in thickening of the skin over the knuckles of the hands and feet. The condition is asymptomatic and frequently associated with camptodactyly and Dupuytren's contracture.

Differential diagnoses of Knuckle Pads include:

• warts
• occupational callosities
• granuloma annulare

Treatment for Knuckle Pads

There is no consistently effective treatment, but knuckle pads have been reported to resolve spontaneously in children. Medication used are urea and Salicyclic acid.

Neither the medical interventions nor surgical for rub with the fist of the trimmings are very effective. The elimination of the source of trauma mechanical or reiterated can improve the lesions. The protective gloves of port or the changing trade can be necessary. The injections of Intralesional of the corticosteroids can reduce the size of the lesions. The lesions caused into corrosive or suction can require of a psychiatrist to deal with the fundamental psychological problem. A cast iron or a splint placed temporarily on the implied sectors of the hand can facilitate by reducing the lesion. The application of the covering of silicone freezing had limited success. The applications of the keratolytics, such as the acid or salicylic urea, helped to soften and reduce even the lesions. It was reported that the radiation therapy and the application of full carbon dioxide are of assistance in selected cases.