Plantar Fibromatosis Etiology / Epidemiology / Natural History
Plantar Fibromatosis Anatomy
Plantar Fibromatosis Clinical Evaluation
a slowly enlarging mass on the plantar medial aspect of the foot. Adherent to the plantar fascia, painful with weightbearing. Overlying skin is mobile., often non-painful. Can be evaluated with MRI.
Plantar Fibromatosis Xray / Diagnositc Tests
Plantar Fibromatosis Classification / Treatment
load-relieving insert and shoe modification is treatment of choice(Sammarco Foot Ankle Int 21:563;2000). An indolent lesion can invade the neurovascular structures, necessitating operative intervention. Non-operative treatment begins with the construction of a well molded, padded shoe and an orthosis. Lee TH, Wapner KL, Hecht PJ: Plantar fibromatosis. JBJS 1993; 75-A:1080-1084
Surgery=resection of fibroma and entire plantar fascia (60% recurrence with local excision only)