Bouchard node
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Bouchard nodes are a clinical sign relating to bony nodules of the the proximal interphalangeal joints, and are much less common than Heberden nodes. They generally (but not always) correspond to palpable osteophytes.
Clinical presentation
They are sometimes painful, and are typically associated with limited motion of the affected joint.
Pathology
They are seen mostly in osteoarthritis. Much less commonly, they may be seen in rheumatoid arthritis, where the nodes are caused by antibody deposition to the synovium.
-</xml><![endif]--><strong>Bouchard nodes</strong> are a clinical sign relating to bony nodules of the the <a href="/articles/proximal-interphalangeal-joint">proximal interphalangeal joints</a>, and are much less common than <a href="/articles/heberden-node">Heberden nodes</a>. They generally (but not always) correspond to palpable <a title="Osteophytes" href="/articles/osteophytes">osteophytes</a>.</p><h4>Clinical presentation</h4><p>They are sometimes painful, and are typically associated with limited motion of the affected joint.</p><h4>Pathology</h4><p>They are seen mostly in <a href="/articles/osteoarthritis">osteoarthritis</a>. Much less commonly, they may be seen in <a href="/articles/rheumatoid-arthritis">rheumatoid arthritis</a>, where the nodes are caused by antibody deposition to the synovium.</p><p><!--[if gte mso 9]><xml>- +</xml><![endif]--><strong>Bouchard nodes</strong> are a clinical sign relating to bony nodules of the the <a href="/articles/proximal-interphalangeal-joint">proximal interphalangeal joints</a>, and are much less common than <a href="/articles/heberden-node">Heberden nodes</a>. They generally (but not always) correspond to palpable <a href="/articles/osteophyte-2">osteophytes</a>.</p><h4>Clinical presentation</h4><p>They are sometimes painful, and are typically associated with limited motion of the affected joint.</p><h4>Pathology</h4><p>They are seen mostly in <a href="/articles/osteoarthritis">osteoarthritis</a>. Much less commonly, they may be seen in <a href="/articles/rheumatoid-arthritis">rheumatoid arthritis</a>, where the nodes are caused by antibody deposition to the synovium.</p><p><!--[if gte mso 9]><xml>
References changed:
- 1. Kloppenburg M, Stamm T, Watt I, Kainberger F, Cawston TE, Birrell FN, Petersson IF, Saxne T, Kvien TK, Slatkowsky-Christensen B, Dougados M, Gossec L, Breedveld FC, Smolen JS. Research in hand osteoarthritis: time for reappraisal and demand for new strategies. An opinion paper. (2007) Annals of the rheumatic diseases. 66 (9): 1157-61. <a href="https://doi.org/10.1136/ard.2007.070813">doi:10.1136/ard.2007.070813</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/17360780">Pubmed</a> <span class="ref_v4"></span>
- 2. Alexander CJ. Heberden's and Bouchard's nodes. (1999) Annals of the rheumatic diseases. 58 (11): 675-8. <a href="https://doi.org/10.1136/ard.58.11.675">doi:10.1136/ard.58.11.675</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/10531070">Pubmed</a> <span class="ref_v4"></span>
- 3. Schedel J, Wimmer A, Friedrich A, Buttner R, Scholmerich J, Muller-Ladner U. Unusual co-incidence of Heberden's and Bouchard's osteoarthritis, rheumatoid arthritis and haemochromatosis. (2003) Rheumatology (Oxford, England). 42 (9): 1109-11. <a href="https://doi.org/10.1093/rheumatology/keg272">doi:10.1093/rheumatology/keg272</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/12923266">Pubmed</a> <span class="ref_v4"></span>
- 1. Kloppenburg M, Stamm T, Watt I et al: Research in hand osteoarthritis: time for reappraisal and demand for new strategies. An opinion paper, Ann Rheum Dis 66:1157-1161, 2007.
- 2. Alexander CJ: Heberden’s and Bouchard’s nodes, Ann Rheum Dis 58:675-678, 1999.
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