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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.
Signs and Symptoms of a Broken Knuckle. The largest cause of a broken knuckle is direct trauma such as punching someone or something hard. Often broken knuckles are called boxerâs fractures, because boxers break their knuckles often. However, broken knuckles can be caused by something heavy crushing the knuckle, a fall, car accident, and other miscellaneous causes. If you think you may have a broken knuckle here are some of the signs and symptoms you may be experiencing: Immediate & Sharp, Stinging Upon Injury Anytime you break or fracture your knuckle it will hurt immediately after the injury occurs.