Dupuytren's Knuckle Pad
Dupuytren's can deposit collagen to the back of the knuckles and are called knuckle pads. The Dupuytren's knuckle pads can be irritating but rarely affect function. They can sometimes limit flexion if they are large. Cortisone injections are the first treatment. Direct excision under local anesthesia can remove the offending collagen deposits. This little finger is seen six months after excision of the knuckle pad.