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Psychologically disturbed children who bite and suck their fingers cause thickenings that resemble knuckle pads to occur in the skin in the traumatized areas. Patients with bulimia who use their knuckles or fingers to induce emesis sometimes develop fibrotic papules resembling knuckle pads. [8] Some cases of knuckle pads are familial.
Types include: 1  Ulnar nerve compression at the wrist: This causes numbness and tingling of the little finger, part of the ring finger, and in the palm on the little finger side. 2  Ulnar nerve compression at the elbow: This causes not only the numbness noted above but also numbness on the back of the hand on the pinky side. Pressure on the radial nerve in the forearm or above the wrist: This can cause numbness over the back of the thumb, the index finger, and the web between these two fingers. Median nerve compression at the elbow: This can cause numbness not only in the same area as in carpal tunnel syndrome but also in the palm at the base of the thumb.