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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.
Prepatellar Bursitis Causes. Frequent Pressure on the Bursa. Repetitive pressure on the prepatellar bursa is the main cause of prepatellar bursitis. Although the bursae in your knee function as cushions to protect the tendons and other soft tissue, frequent kneeling during your work or activities often creates more stress than the bursa can handle.