Kisa-Fleka Knot

Kisa - Fleck knot

The Keys-Fleck nodule is a morphological element of the hand, which is a finger joint with a displaced extensor or abductor tendon. These nodules are usually a sign of diseases of the joints of the hand - arthritis, synovitis, etc.

Syn.: tendon knot, tendon cord. The nodular form of the dorsal aponeurosis consists of a large number of small nodules in the form of granular, whitish edema. The nodes are located across the phalanges of the index, middle and ring fingers, spreading to the area of ​​the interphalangeal joints. In these nodules there is often a reaction from small vessels and nerves. Signs of compression of nerves in the nodes are moderate: deformation of the fingers, hypotrophy and atrophy of the skin, chronic analgesia. Muscle tone is preserved, fingers may appear smoothed, somewhat shortened, and stretched. There is no pain. Such nodules are more often observed in rheumatism.

The critical values ​​in points are as follows: 0.1 - 1 point - radiological signs are not visualized or an increase in subclinical and initial clinical manifestations is observed. From 1 to 3 points - thinning of the endplates. At