Surgical Treatment of a Case of Ledderhose’s Disease: A Safe Plantar Approach to Subtotal Fasciectomy

Souza, Bruno Gonçalves Schröder e; Júnior, Gilberto Zaquine de Souza; Mansilla, Raíssa; Dias, Diogo Stelito Rezende; Oliveira, Valdeci Manoel de

doi:10.1155/2015/509732

Cited by 10 publications

(36 citation statements)

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“…1,2 Exacerbated proliferation of connective tissue produces thick collagen fibers, which forms slow growing irregular masses or nodules predominantly in the medial and central bands of the plantar aponeurosis. 1 Alcoholic hepatic dysfunction, diabetes mellitus, use of anticonvulsants, and genetic factors may account for a higher risk of the disease. 1 It is associated with palmar fibromatosis (Dupuytren's disease) and penile fibromatosis (Peyronie's disease).…”

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confidence: 99%

“…1 Alcoholic hepatic dysfunction, diabetes mellitus, use of anticonvulsants, and genetic factors may account for a higher risk of the disease. 1 It is associated with palmar fibromatosis (Dupuytren's disease) and penile fibromatosis (Peyronie's disease). 1,2 Clinical and pathologic studies have classified plantar fibromatosis into 3 stages: (1) proliferative with increased activity of fibroblasts; (2) involutional with typical nodule formation; and (3) residual with a reduction of fibroblast activity, collagen maturation, and late tissue contractures.…”

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confidence: 99%

“…1 It is associated with palmar fibromatosis (Dupuytren's disease) and penile fibromatosis (Peyronie's disease). 1,2 Clinical and pathologic studies have classified plantar fibromatosis into 3 stages: (1) proliferative with increased activity of fibroblasts; (2) involutional with typical nodule formation; and (3) residual with a reduction of fibroblast activity, collagen maturation, and late tissue contractures. 1,3 Patients with plantar fibromatosis may or may not present with clinical symptoms.…”

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confidence: 99%

“…1,2 Clinical and pathologic studies have classified plantar fibromatosis into 3 stages: (1) proliferative with increased activity of fibroblasts; (2) involutional with typical nodule formation; and (3) residual with a reduction of fibroblast activity, collagen maturation, and late tissue contractures. 1,3 Patients with plantar fibromatosis may or may not present with clinical symptoms. 1,2 Symptoms commonly include the feeling of a mass in the foot, difficulty in fitting shoes, and pain and tenderness while weightbearing.…”

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confidence: 99%

“…1,3 Patients with plantar fibromatosis may or may not present with clinical symptoms. 1,2 Symptoms commonly include the feeling of a mass in the foot, difficulty in fitting shoes, and pain and tenderness while weightbearing.…”

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confidence: 99%

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Endoscopic Subtotal Fasciectomy of the Foot

Lui¹

2016

Arthroscopy Techniques

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Plantar fibromatosis is a rare benign but often locally aggressive tumor of the plantar aponeurosis. Nonsurgical treatment is the first line of treatment for symptomatic lesions. Because of the high recurrence rate associated with surgical treatment, operation is indicated only when the lesions are highly symptomatic and conservative measures fail or the diagnosis is in question. The purpose of this technical note is to report the details of endoscopic subtotal fasciectomy. This may reduce the risks of skin necrosis and dehiscence, infection, and formation of painful hypertrophic scars. P lantar fibromatosis is a rare benign but often locally aggressive tumor of the plantar aponeurosis.

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confidence: 99%

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confidence: 99%

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confidence: 99%

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confidence: 99%

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confidence: 99%

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Endoscopic Subtotal Fasciectomy of the Foot

Lui¹

2016

Arthroscopy Techniques

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Ultrasonography of Plantar Fibromatosis: Updated Case Series, Review of the Literature, and a Novel Descriptive Appearance Termed the “Comb Sign”

Cohen

Murthy

McKenzie

2018

J of Ultrasound Medicine

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The purpose of this series is to review the appearance of plantar fibromatosis with high-resolution ultrasonography (US) and highlight a new imaging sign termed the "comb sign." A retrospective study was performed for patients with a clinical diagnosis of plantar fibromatosis. Charts of 43 patients (age range, 26-77 years; mean age, 54 years) were reviewed to gather patient demographics and symptoms. Several US characteristics were evaluated with emphasis on any new imaging features. A total of 57 plantar fibromas in 43 patients were examined. Plantar fibromatosis was seen as a lobular marginated oval nodule along the superficial plantar fascia involving the central or medial cord, often at the middle third (84%) of the plantar fascia, showing posterior acoustic enhancement (65%), mixed echogenicity (82%), and intralesional vascularity (53%). Slightly more than half (51%) of the lesions showed a previously unrecognized appearance, designated the comb sign. This sign was more commonly seen in the setting of larger fibromas (P < .05). Plantar fibromatosis is usually a clinical diagnosis that can be aided by a typical US appearance. Although the imaging characteristics are largely similar to prior literature, this series suggests that most show mixed echogenicity and posterior acoustic enhancement, and approximately half show internal vascularity. A new US sign, termed the comb sign, shows alternating bands of hypoechogenicity and isoechogenicity, particularly in larger plantar fibromas, and can help in further characterization.

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