Plantar Fibromatosis- a benign condition

G Rathore, S Bassi, S Gujral, R Suneja, J Barrie

East Lancs Foot + Ankle Service

Definition

“a benign fibroproliferative disorder of the plantar aponuerosis”

(reference?)

Study Design

• Prospective Case Series• Blackburn Royal Infirmary

1980-2006• Ethical approval obtained• Clinically diagnosed• Serial Clinic reviews• Final review – July 2006

Study Design

• Clinically diagnosed• Management

• No intervention in 35 (study group)• Surgical excision in x (excluded)

• Serial Clinic reviews• Final review – July 2006

Demographics

13, 37%

22, 63%

MaleFemale

N=35All white Caucasian

Age at presentation

• Range – 19-63• Mean (SD)– 42.3(10.6)• Median (IQR) – 45.0(33-

51)

Follow Up

• Range : 2-25 years• Mean (SD): 10.2 (5.9)• Median (IQR): 10 (7-12)

Associations

21

64

2

64 4

8

Presentation of the disease

I nitial presentation

56%36%

8%

painful lump painless lump pain

Difference in Pain Scores

Subjective Perception

17

14

4

ImprovingStableWorse

Interpretation

• Benign self-limiting condition• Reassurance• Wait & watch• Subtotal fasciectomy for severe

symptoms

Thank You