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Plantar Fibromatosis
Aka: Plantar Fibromatosis, Plantar Fibroma
- See Also
- Plantar Fasciitis
- Definitions
- Plantar Fibromatosis (Plantar Fibroma)
- Fibrous proliferation of the plantar fascia and plantar aponeurosis
- Similar to Dupuytren's Contracture of palm
- Risk Factors
- Dupuytren Contracture
- Peyronie Disease
- Symptoms
- Slow enlargement of a painless Subcutaneous Nodule
- Eventually becomes tender and painful with walking or prolonged standing
- Signs
- Palpable Nodule or thickening of the plantar fascia
- Involves medial half of middle of plantar fascia
- Contractures rarely occur
- Bilateral involvement in 20 to 50% of cases
- Differential Diagnosis
- Plantar Fasciitis
- Imaging
- Ultrasound
- Hypoechoic to isoechoic fusiform Nodules
- MRI
- Well defined mass with similar intensity to Muscle on T1 imaging
- Broad base at the superficial fascia
- Management
- Molded Orthotic
- Allows transfer of weight away from Nodule
- Intralesional Corticosteroid Injection
- Surgery: Subtotal fasciectomy with wide excision
- Indicated when weight bearing becomes painful
- Often recurs after excision
- References
- Achar (2022) Am Fam Physician 105(6): 602-12 [PubMed]
- Young (2018) Orthop Res Rev 11:1-7 [PubMed]