Tuesday, February 9, 2010

Bouchard's and Heberden's nodes

These nodes are found in Osteoarthritis of the hand.
  • Bouchard's - Osteoarthritic nodes in proximal interphalangeal joint
  • Heberden's - Osteoarthritic nodes in distal IP joint
Confused about whose proximal and whose distal. How to remember ? - See 2 methods below:
  • B comes before H, so Bouchard's is in proximal IP joint ( "B" is proximal to "H" in the alphabet chain)
  • When you hold a Bat, you use more of your proximal IPJ i.e. B for Bat and Bouchard's. When you hold a Hair (H for Heberden's) you use more of your distal IPJ

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