Plantar Fibromatosis: An Unusual Cause of Plantar Pain

Vieira Filipa,Severo Alessandro,Canella Clarissa,Marchiori Edson,C Delicato Flavia

doi:10.23937/2469-5718/1510078

Abstract

Ledderhose's disease or plantar fibromatosis is a rare benign condition characterized by local proliferation of fibrous nodular tissue within the plantar aponeurosis. The diagnosis of this disease is based on clinical examination but imaging is often required to confirm the diagnosis or reveal alternative diagnosis.

Highlights

Ledderhose’s disease or plantar fibromatosis is a rare benign condition characterized by local proliferation of fibrous nodular tissue within the plantar aponeurosis
The authors describe case of a 46-year-old man with bilateral plantar fibromatosis confirmed by ultrasound and MRI who underwent a wide excision followed by physical therapy and orthotic support with satisfactory evolution
Ledderhose’s disease or plantar fibromatosis is benign condition characterized by nodular fibroblastic proliferation of the plantar fascia

Summary

Introduction

Ledderhose’s disease or plantar fibromatosis is benign condition characterized by nodular fibroblastic proliferation of the plantar fascia. Diagnosis is based on clinical examination and may be confirmed by ultrasonography and MRI. The nodules had been present for more than 4 years but were gradually enlarging and the patient felt discomfort while walking. On physical examination, he had subcutaneous nodules on the medial aspect of the plantar surface of the feet, more voluminous on the right. The diagnosis was confirmed by histopathology, which showed proliferation of fibrous tissue without associated malignancy. It was followed by post-operative physical therapy and orthotic support and had satisfactory evolution with no recurrence for at least four years follow-up

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Ethical Statements