Heberden’s nodes are the (DNB June 2010)
|A||Subcutaneous nodules seen in RA|
|B||Swollen DIP classically in OA|
|C||Inflamed first MTP in gout|
|D||Osteophytes seem at the zygapophyseal joint in the spine|
Swollen DIP classically in OA
a. In polyarticular OA the changes are most obvious in the hands. The inter phalangeal joints become swollen and tender and in the early stages they often appear to be inflamed.
b. Over a period of years osteophytes and soft tissues swelling produce a characteristic knobby appearance of the DIP joints called Heberden’s nodes and less often the PIP joints called Bouchard's nodes.