ABSTRACT
A 46-year-old man presented with a six-month history of lumps in the sole of his left foot. Physical examination revealed two nodules, one tender and one firm, at the plantar left foot with no overlying skin changes. Although the initial radiographs were normal, magnetic resonance imaging of the left foot demonstrated two nodules along the medial band of the plantar fascia, characteristic of plantar fibromas. The patient opted for surgical excision. There was no further recurrence of symptoms after surgery. We describe the clinical and radiological features of plantar fibromatosis and briefly discuss other causes of lumps and pain in the sole of the foot.
ABSTRACT
OBJECTIVE: To investigate the sonographic appearance of plantar fibromatosis in Korean adults, thus enabling sonographic diagnosis of the benign, focally invasive fibrous neoplasm. METHOD: The medical records, pathologic reports, and sonographic reports and image of 42 patient with plantar fibromatosis were reviewed retrospectively. RESULTS: US demonstrated plantar fibromatosis as a fusiform nodular thickening of the plantar fascia oriented according to its major axis. A total of 60 fibromatosis nodules in 42 patient were examined. Thirty-eight (63.33%) of the 60 were elongated. The remaing 22 were rounded or oval. Thirty-five (58.33%) were hypoechoic; fivty-one (85%) were 20 mm long or less. Eight of 9 lesions that had mixed echogenicity were longer than 20 mm. CONCLUSION: Our results suggest that the lesions of the plantar fibromatosis were characteristically located on the surface of the plantar fascia, longitudinally elongated, most often less than 20 mm long, fusiform and hypoechoic. Lesions longer than 10 mm often exhibited mixed echogenicity. Our sonographic finding was helpful in diagnosing planatar fibromatosis in the Korean.
Subject(s)
Adult , Humans , Axis, Cervical Vertebra , Fascia , Fibroma , Medical Records , Retrospective StudiesABSTRACT
Plantar fibromatosis is a disease that is rarely encountered in the clinical practice of dermatology. It is characterized by a benign, nodular, proliferation of fibrous tissue within the plantar fascia. It is much less common than palmar fibromatosis (Dupytrens contracture) but shares several features with this condition. It preferentially affect men between 50-60 years of age and is associated with diabetes, alcoholism, epilepsy, and other fibromatous diseases like Dupytrens, Peyronies, knuckle-pad thickening, or a frozen shoulder. Care must be taken with the histopathologic examination because plantar fibromatosis may infrequently resemble low grade fibrosarcoma. We herein report two cases of plantar fibromatosis.
Subject(s)
Humans , Male , Alcoholism , Bursitis , Dermatology , Epilepsy , Fascia , Fibroma , FibrosarcomaABSTRACT
Plantar fibromatosis is a benign fibroproliferative disorder of plantar fascia with rare incidence, but there are locally invasive tendency. There has been no reports of the treatment of recurrent plantar fibromatosis and its complication except only 2 report about the plantar fibromatosis in Korea. Hereby we report three cases of recurrent plantar fibromatosis including treatment and complication.
Subject(s)
Fascia , Fibroma , Incidence , KoreaABSTRACT
Plantar fibromatosis is characterized by a nodular fibrous proliferation arising within the plantar aponeurosis. The tumor may be asymptomatic, but symptoms commonly include a painful mass, difficulty in fitting shoes and tenderness while weightbearing. Occasionally palmar and plantar fibromatosis affect the same patient. We report a case of plantar fibromatosis with Dupuytren's contracture in a 40-year-old man.
Subject(s)
Adult , Humans , Dupuytren Contracture , Fibroma , Shoes , Weight-BearingABSTRACT
Plantar fibromatosis is a benign fibroproliferative disorder of plantar fascia with rare incidence, the etiology of which is still controversial with several etiological propositions such as trauma, infection, autoimmune disease. Hereby we report a case of 45 year-old male patient with pathologically confirmed bilateral plantar fibromatosis, found after bilateral calcaneal fractures.
Subject(s)
Humans , Male , Middle Aged , Autoimmune Diseases , Calcaneus , Fascia , Fibroma , IncidenceABSTRACT
Plantar fibromatosis, otherwise known as Dupuytrens disease of the foot, is a relatively uncommon benign lesion. It is characterized by the replacement of elements of the plantar aponeurosis with fibrous tissue, which then slowly invades the skin and the deep structures. Generally an asymptomatic lesion, plantarfibrosis may occasionally cause foot pain. We recently experienced a case of painful plantar fibromatosis. On which a wide surgical excision was done. A one year postoperatively, follow-up examination revealed neither recurrence nor walking disability.