Ledderhose disease is a type of plantar fibromatosis characterized by the growth of hard and round or flattened nodules (lumps) on the soles of the feet. La enfermedad de Ledderhose es una hiperproliferación benigna de fibroblastos y colágeno a nivel de la aponeurosis plantar. Patología de baja incidencia y. Fibromatosis plantar o enfermedad de Ledderhose, como causa de dolor plantar. Authors: JdD. Beas-Jiménez, R.A. Centeno-Prada, C. García-Antúnez, M.D.

Author: Fegor Vudokus
Country: Mozambique
Language: English (Spanish)
Genre: Life
Published (Last): 18 November 2007
Pages: 222
PDF File Size: 4.99 Mb
ePub File Size: 7.72 Mb
ISBN: 288-8-61159-372-2
Downloads: 87718
Price: Free* [*Free Regsitration Required]
Uploader: Baktilar

More dense collagen, less cellularity Variable mitotic figures Occasional attachment to dermis or cartilaginous metaplasia Usually no infiltration of surrounding tissue beyond subcutis Plantar fibromatosis Ledderhose’s disease Proliferative phase: From Wikipedia, the free encyclopedia. An expert diagnosis prior to ledderhpse is important!

There was a problem providing the content you requested

A combination of physical examination of the arch and plantar fascia, as well as ultrasound imaging by a physician is the usual path to diagnosis. Rare diseases Dermal and subcutaneous growths. Initially orthotics and local steroid injection are the treatment of choice. Case 1 Case 1. After radiotherapy the nodule is not gone but reduced in size.

Radiation therapy of Morbus Dupuytren and Ledderhose disease

There is also some evidence that it might be genetic. For more details please refer to ” Introduction to radiation biology when treating hyperproliferative benign diseases ” linkor literature section 9. Whole family involvement is even more unusual.


Radiotherapy is the most efficient with the least recurrence rate In the beginning, where nodules start growing in the fascia of the foot the disease is minor [ citation needed ].

Plantar fibromatosis

Immuno- histochemical features of palmar fibromatosis. There is no author summary ledderhosw this article yet. Proc Bayl Univ Med Cent. The patient is shielded from radiation by the equipment itself, by a lead mask between the x-ray conus and the hand defining the radiated areathe material under the hand, and the lead apron.

encermedad Again typically seen as a relatively well-defined region of multinodular thickening about the inferior margin of the plantar fascia.

As such, portions of the diseased tissue may be left in the foot after surgery. Like in wound healing this tissue maturates building cords for Dupuytren’s and eventually contracts actively or passively fixing a contraction.

Plantar fibromatosis | Radiology Reference Article |

We believe it is recommendable to review the pathology for its correct treatment and referral where necessary.

Surgery of Ledderhose’s disease is difficult because tendons, nerves, and muscles are located very closely to each other. Palmar fibromatosis Dupuytren’s contracture Nodule of variably cellular fibroblastic tissue infiltrates an aponeurosis.

Case 8 Case 8. Penile fibromatosis Peyronie’s 59 year old man with human penile ossification Sao Paulo Med J ; Adhesive capsulitis of shoulder Impingement syndrome Rotator cuff tear Golfer’s elbow Tennis elbow.


Other family members also affected.

Leddedhose injections, such as Triamcinolone[4] and clobetasol ointments [9] have been shown to stall the progression of the disease temporarily, although the results are subjective and large-scale studies far from complete. Note that there is no shielding required. Retrieved from ” https: Click here for patient related inquiries.

If surgery is performed, the biopsy is predominantly cellular and frequently misdiagnosed as fibrosarcoma.

Palmar fibromatosis Dupuytren’s contracture Fibrosarcoma: Ledderhse fibromatoses Ledderhose disease Ledderhose’s disease. In radiation therapy, the nodules and cords associated with Dupuytren’s are irradiated from a distance of.

Radiotherapy is capable of stopping the growth of Dupuytren nodules either permanently or for a long time. Case 3 Case 3.

A family of nine siblings, four of whom being affected by plantar fibromatosis, and six with Dupuytren’s disease. Palmar fibromatosis Dupuytren’s contracture KeratinCD Comment on this article Sign in to comment. Patients with a dormant disease or low probability for ledcerhose might get along well with a “wait and see” strategy.