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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.
Tim Wakefield in his throwing motion, showing his grip of the knuckleball. A knuckleball or knuckler is a baseball pitch thrown so as to minimize the spin of the ball in flight, causing an erratic, unpredictable motion. The air flow over a seam of the ball causes the ball to transition from laminar to turbulent flow. This transition adds a deflecting force on the side of the baseball.