Plantar Fibromatosis: Pathophysiology, Surgical and Nonsurgical Therapies: An Evidence-Based Review.

MedStar author(s):
Citation: Foot & Ankle Specialist. 11(2):168-176, 2018 Apr.PMID: 29310463Institution: MedStar Washington Hospital CenterDepartment: Orthopedic Oncology | PathologyForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Conservative Treatment/mt [Methods] | *Fibromatosis, Plantar | *Foot Diseases | *Orthopedic Procedures/mt [Methods] | Biopsy | Diagnostic Imaging | Fibromatosis, Plantar/di [Diagnosis] | Fibromatosis, Plantar/pp [Physiopathology] | Fibromatosis, Plantar/th [Therapy] | Foot Diseases/di [Diagnosis] | Foot Diseases/pp [Physiopathology] | Foot Diseases/th [Therapy] | HumansYear: 2018ISSN:
  • 1938-6400
Name of journal: Foot & ankle specialistAbstract: LEVELS OF EVIDENCE: Level V: Expert opinion.Plantar fibromatosis (morbus Ledderhose), an extra-abdominal desmoid tumor of the =520 \\ Plantar fibromatosis (morbus Ledderhose), an extra-abdominal desmoid tumor of the plantar foot, is a rare benign hyperproliferative disorder of the plantar fascia with an unknown etiology. The main clinical characteristics include slow growing nodules on the medial and central bands of the plantar fascia, which may become painful and negatively affect ambulation. Most established conservative therapies today target symptomatic relief. As symptoms progress, therapies such as injections, shockwave ablation, radiation, and/or surgery may be required. This review aims to provide insight into the pathophysiology of this condition in addition to detailing current and investigational therapies for this disorder. Many therapies have been proven in similar conditions, which could lead to promising treatment options for plantar fibromatosis.All authors: Carroll P, Garwood C, Henshaw RM, Kumar D, Raspovic KOriginally published: Foot & Ankle Specialist. :1938640017751184, 2018 Jan 01Fiscal year: FY2018Digital Object Identifier: Date added to catalog: 2018-01-18
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Journal Article MedStar Authors Catalog Article 29310463 Available 29310463

LEVELS OF EVIDENCE: Level V: Expert opinion.

Plantar fibromatosis (morbus Ledderhose), an extra-abdominal desmoid tumor of the =520 \\ Plantar fibromatosis (morbus Ledderhose), an extra-abdominal desmoid tumor of the plantar foot, is a rare benign hyperproliferative disorder of the plantar fascia with an unknown etiology. The main clinical characteristics include slow growing nodules on the medial and central bands of the plantar fascia, which may become painful and negatively affect ambulation. Most established conservative therapies today target symptomatic relief. As symptoms progress, therapies such as injections, shockwave ablation, radiation, and/or surgery may be required. This review aims to provide insight into the pathophysiology of this condition in addition to detailing current and investigational therapies for this disorder. Many therapies have been proven in similar conditions, which could lead to promising treatment options for plantar fibromatosis.

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