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Related Experiment Videos

Plantar fibromatosis.

Thomas Zgonis1, Gary Peter Jolly, Vasilios Polyzois

  • 1Connecticut Reconstructive Foot Surgeons, 21 Woodland Street, Suite 221, Hartford, CT 06105, USA. thomaszgonis@yahoo.com

Clinics in Podiatric Medicine and Surgery
|November 24, 2004
PubMed
Summary

Plantar fibromatosis, a benign fibrous disorder of the plantar aponeurosis, commonly affects the feet, causing heel pain. Surgical treatment presents challenges due to high recurrence rates and potential complications.

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Area of Science:

  • Orthopedics and Sports Medicine
  • Dermatology
  • Pathology

Background:

  • Plantar fibromatosis is a benign fibrous proliferation affecting the plantar aponeurosis.
  • While common in the hands, its occurrence and etiology in the feet remain less understood.
  • It can be a differential diagnosis for medial arch and heel pain.

Purpose of the Study:

  • To review the history, clinical presentation, and pathological findings of plantar fibromatosis.
  • To discuss the surgical challenges and approaches for treating plantar fibromatosis.
  • To highlight the high recurrence rates and complications associated with surgical excision.

Main Methods:

  • Literature review of historical data, clinical observations, and pathological studies.
  • Analysis of surgical techniques and outcomes for plantar fibromatosis.

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  • Discussion of reconstructive challenges faced by foot and ankle surgeons.

    • Main Results:

    • Plantar fibromatosis presents as a benign thickening of the plantar fascia.
    • Surgical excision is associated with significant challenges, including high recurrence rates.
    • Problematic scarring and wound healing are common post-operative complications.

    Conclusions:

    • Plantar fibromatosis requires careful consideration in the differential diagnosis of plantar heel pain.
    • Current surgical treatments face limitations due to recurrence and complications.
    • Further research into etiology and improved management strategies is warranted.