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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.
Figure 1 - Extensor tendons, located on the back of the hand and fingers, allow you to straighten your fingers and thumb. Figure 2 - The mallet finger deformity causes a droop of the fingertip. This is caused by injury to the extensor tendon at the last finger joint.