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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.
What Caused My Hammertoes? Over the years, many causes have been given for the curling or buckling of the toes (hammertoes). In fact, some state the primary cause of hammertoes are poor fitting shoes, others state the cause is how the foot functions or how an individual walks, and others state the primary cause is genetic. The truth is, however, that all these causes can influence the presentation or progression of hammertoes.