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plantar fascial fibromatosis; Ledderhose's disease
Etiology:
- phenytoin may be risk factor
Epidemiology:
- relatively uncommon [1], rare [2]
- 10-fold higher incidence in males
- higher incidence in Caucasians
- more common in the elderly
Pathology:
- benign thickening of plantar fascia
- initially nodules or cords start growing along tendons of the foot
- eentually, the cords thicken, the toes stiffen & bend, & walking becomes painful
Genetics:
- may be familial predisposition
Management:
- orthotics
- glucocorticoid injections may slow progression
- surgical excision of fibrous tissue is difficult
- post surgical radiation therapy may diminish recurrence
General
fibrosis
References
- Wikipedia: Plantar fibromatosis
http://en.wikipedia.org/wiki/Plantar_fibromatosis
- Kirk P
Foot Vitals: Plantar Fibromatosis
http://www.footvitals.com/ligaments/plantar-fibromatosis.html