SNOMEDCT: 16687001; ICD10CM: M72.1;
A number sign (#) is used with this entry because knuckle pads are associated with certain genetic disorders such as epidermolytic palmoplantar keratoderma (144200) or Dupuytren contractures (126900), both of which are autosomal dominant.
Skoog (1948) defined knuckle pads as 'subcutaneous nodules on the dorsal aspect of the proximal interphalangeal joints.'
Knuckle pads are sometimes associated with Dupuytren contractures and it is not completely certain that a different gene is involved. Camptodactyly (114200) also has an uncertain relationship.
Lu et al. (2003) reported association of knuckle pads with epidermolytic palmoplantar keratoderma in a Chinese family.
In a Chinese family with association of knuckle pads with epidermolytic palmoplantar keratoderma, Lu et al. (2003) identified heterozygosity for a novel leu160-to-phe mutation in the keratin-9 gene (L160F; 607606.0012) as the presumed cause. They presented evidence that both the hyperkeratosis and the knuckle pads were friction-related.
Allison, J. R., Jr., Allison, J. R., Sr. Knuckle pads. Arch. Derm. 93: 311-316, 1966. [PubMed: 5910872]
Garrod, A. E. Concerning pads upon the finger joints and their clinical relationship. Brit. Med. J. 2: 8 only, 1904. [PubMed: 20761632] [Full Text: https://doi.org/10.1136/bmj.2.2270.8]
Lu, Y., Guo, C., Liu, Q., Zhang, X., Cheng, L., Li, J., Chen, B., Gao, G., Zhou, H., Guo, Y., Li, Y., Gong, Y. A novel mutation of keratin 9 in epidermolytic palmoplantar keratoderma combined with knuckle pads. Am. J. Med. Genet. 120A: 345-349, 2003. [PubMed: 12838553] [Full Text: https://doi.org/10.1002/ajmg.a.20090]
Skoog, T. Dupuytren's contraction with special references to aetiology and improved surgical treatment: its occurrence in epileptics: note on knuckle-pads. Acta Chir. Scand. 96 (suppl. 139): 1-190, 1948. Note: P. 173.
Weber, F. P. A note on Dupuytren's contraction, camptodactylia and knuckle-pads. Brit. J. Derm. Syph. 50: 26-31, 1938.
White, W. H. On pads on the finger joints. Quart. J. Med. 1: 479-480, 1908.