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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
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.
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.
- 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.