Palmar Fibromatosis Dupuytren Contracture amp Plantar Fibromatosis 5Minute Pathology Pearls

>> YOUR LINK HERE: ___ http://youtube.com/watch?v=MApd4H1Isfk

Dr. Ebraheim’s educational animated video describes the condition of plantar fibromatosis, the etiology, signs and symptoms, diagnosis, and treatment options. • Plantar fascial fibromatosis (Ledderhose’s disease) is a benign tumor of the plantar fascia of the foot. It consists of myofibroblasts and dense fibrous proliferation infiltrating the adipose tissue (myofibroblast and collagen proliferation). It is most often found in the central and medial portion of the plantar fascia. • The firm nodule is located on the medial border of the sole of the foot. The nodule is close to the skin and gradually increases in size. It is painful with wearing shoes. The condition is bilateral in 25% of the patients. Early lesions are more cellular. Biopsy could be misdiagnosed as fibrosarcoma. Older lesions have less cells and more collagen. Plantar fibromatosis is different from palmar fibromatosis which causes Dupuytren's contracture. Both conditions can coexist. There is no contracture with plantar fibromatosis. Plantar fibromatosis can result from fibroblast proliferation with infiltrative growth that is easily recognized clinically. • If the mass is suspicious, then an MRI or ultrasound may help with the diagnosis. MRI and ultrasound will show the extent of the lesion. Ultrasound will show diffuse, discrete fusiform thickening of the plantar fascia. Lesion can be multiple and bilateral. The superficial fibers are more affected. It's often difficult to differentiate between a chronic partial tear and a nodule. There is no relationship between the symptoms and the ultrasound appearance. The ultrasound appearance is usually characteristic. • Etiology • Multifactorial, trauma, familial, diabetes, epilepsy, liver disease, alcohol consumption, smoking. Plantar fibromatosis occurs in adults and is rare before the age of 30. It occurs more in males than females. • Treatment is nonoperative using accommodative footwear and insert. Do not operate on painful nodules as they may come back worse than before. A local excision will cause recurrence of the lesion due to infiltrative nature (lesion is not encapsulated). Postoperative radiation therapy for aggressive fibromatosis was found to improve local control of the lesion. If the mass appears suspicious, a biopsy may be needed to rule out soft tissue sarcoma such as synovial cell sarcoma. • Become a friend on facebook: • / drebraheim • Follow me on twitter: • https://twitter.com/#!/DrEbraheim_UTMC • Background music provided as a free download from YouTube Audio Library. • Song Title: Every Step

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