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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.
When you âcrackâ your knuckles, or any other joint, it expands the space between your bones, creating negative pressure that draws synovial fluid into the new gap. This influx of synovial fluid is what causes the popping sound and feeling when you crack a knuckle. If you continually crack your knuckles, the synovial membrane and the surrounding ligaments will loosen, making it easier and easier for your joints to crack.