Heberden nodes are a clinical examination sign related to the hands, most commonly found at the dorsolateral aspect of the distal interphalangeal joint (DIPJ) and are a moderate-to-strong marker of osteoarthritis 1,2.
Previously, Heberden nodes and DIP osteophytes were thought to be synonymous, but there is evidence that Heberden nodes are related to not only bones but also ligaments 3. There remains debate to the correlation between the two and the exact etiology and histology of Heberden nodes 1,2.