Knuckle Pads (Garrod’s Nodules) of the Fingers: Painful Dorsal Nodules on the PIP Joints of the Fingers and Concomitant Recurrent Dupuytren’s Contracture

  • Karsten KnoblochEmail author


A 48-year-old male presented himself in my office with painful dorsal nodules on his fingers in association with a recurrent Dupuytren’s contracture of his small finger of his right dominant hand. Prior, he underwent surgery with open selective fasciectomy 4 years ago for his right small finger due to Dupuytren’s contracture. However, Dupuytren’s contracture recurred within 18 months following conventional open surgery as limited fasciectomy. He had a positive family history for Dupuytren’s contracture. Regarding knuckle pads in his family history, the patient was not quite sure about.


Flexor Tendon Conventional Open Surgery Small Finger Collagenase Injection Extracorporeal Shockwave Therapy 
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  1. 1.
    Brenner P, Krause-Bergmann A, Van VH. Dupuytren contracture in North Germany. Epidemiological study of 500 cases. Unfallchirurg. 2001;104(4):303–11.CrossRefPubMedGoogle Scholar
  2. 2.
    Mikkelsen OA. Knuckle pads in Dupuytren’s disease. Hand. 1977;9(3):301–5.CrossRefPubMedGoogle Scholar
  3. 3.
    Hurst LC, Badalamente MA, Hentz VR, Hotchkiss RN, Kaplan FT, Meals RA, Smith TM, Rodzvilla J, CORD I. study group. Injectable collagenase clostridium histolyticum for Dupuytren’s contracture. N Engl J Med. 2009;361(10):968–79.CrossRefPubMedGoogle Scholar
  4. 4.
    Critchley EM, Vakil SD, Hayward HW, Owen VM. Dupuytren’s disease in epilepsy: result of prolonged administration of anticonvulsants. J Neurol Neurosurg Psychiatry. 1976;39(5):498–503.CrossRefPubMedPubMedCentralGoogle Scholar
  5. 5.
    Knobloch K. Knuckle pads and therapeutic options. MMW Fortschr Med. 2012;154(19):41–2.CrossRefPubMedGoogle Scholar
  6. 6.
    Knobloch K. From nodules to cords in Dupuytren’s contracture. MMW Fortschr Med. 2012;154(19):37–8.CrossRefPubMedGoogle Scholar
  7. 7.
    Knobloch K, Redeker J, Vogt PM. Antifibrotic medication using a combination of N-acetyl-l-cysteine (NAC) and ACE inhibitors can prevent the recurrence of Dupuytren’s disease. Med Hypotheses. 2009;73(5):659–61.CrossRefPubMedGoogle Scholar
  8. 8.
    Knobloch K, Vogt PM. High-energy focused extracorporeal shockwave therapy reduces pain in plantar fibromatosis (Ledderhose’s disease). BMC Res Notes. 2012;5:542.CrossRefPubMedPubMedCentralGoogle Scholar
  9. 9.
    Knobloch K, Vogt PM. Beware of the small finger and/or the proximal interphalangeal joint? Skin lacerations following collagenase injection in Dupuytren’s contracture. Plast Reconstr Surg. 2012;130(1):202e–4e.CrossRefPubMedGoogle Scholar
  10. 10.
    Felici N, Marcoccio I, Giunta R, Haerle M, Leclercq C, Pajardi G, Wilbrand S, Georgescu AV, Pess G. Dupuytren contracture recurrence project. Reaching consensus on a definition of recurrence. Handchir Mikrochir Plast Chir. 2014;46(6):350–4.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.SportPraxisHannoverGermany

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