Plantar Fibromatosis - a benign condition G Rathore, S Bassi, S Gujral, R Suneja, J Barrie East Lancs Foot + Ankle Service

History Study Design Observations Results

Definition “a benign fibroproliferative disorder of the plantar aponuerosis” (reference?)

History Baron Guillaume Dupuytren - Lecon Oraies de Clinique chirurgicale faites a l’Hotel Diue de Paris. Paris, Londres Germer Bailliere, 1832 Henry Cline & Astley Cooper Ledderhose - Zur patholgie der aponuerose des fusses und der hand. Arch Klin Chir 1897 Meyerding and Shellito - Dupuytren’s Contracture of the foot, J Internat Coll Surg

Study Design Prospective Case Series Blackburn Royal Infirmary 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

Observations N= 35 Males – 22 (62.9%) Females – 13 (37.1%) All patients – white Caucasians

Demographics N=35 All white Caucasian

Age at presentation Range – 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

Presentation of the disease

Difference in Pain Scores

Progression in AOFAS Scores

Subjective Perception

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

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