A patient has hard, nontender enlargements on his distal interphalangeal joints. These are called
a. ganglion cysts. c. tophi.
b. Bouchard's nodes. d. Heberden's nodes.
D
Osteoarthritis is associated with bony enlargement of the distal interphalangeal joint of the finger (Heberden's nodes). These enlargements are hard, nontender, and usually symmetrical.
A ganglion cyst is a benign growth that is usually nontender and more prominent on the dorsum of the hand and wrist. Bouchard's node is a bony enlargement of the proximal interphalangeal joint of the finger and is associated with osteoarthritis. Tophi are calculus-containing sodium urate deposits that develop in periarticular fibrous tissue, typically in patients with gout.
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