mid-14c., knokel "finger joint; any joint of the body, especially a knobby one; morbid lump or swelling." Perhaps in Old English, but not attested there. Common Germanic (compare Middle Low German knökel, Middle Dutch cnockel, German knöchel), literally "little bone," a diminutive of Proto-Germanic root *knuk- "bone," which is not represented in English in its simple form (but compare German Knochen "bone). For pronunciation, see kn-.