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

2. History Study Design Observations Results

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

4. 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

5. Study Design Prospective Case Series Blackburn Royal Infirmary 1980-2006 Ethical approval obtained Clinically diagnosed Serial Clinic reviews Final review – July 2006

6. Study Design Clinically diagnosed Management No intervention in 35 (study group) Surgical excision in x (excluded) Serial Clinic reviews Final review – July 2006

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

8. Demographics N=35 All white Caucasian

9. Age at presentation Range – 19-63 Mean (SD)– 42.3(10.6) Median (IQR) – 45.0(33- 51)

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

11. Associations

12. Presentation of the disease

13. Difference in Pain Scores

14. Progression in AOFAS Scores

15. Subjective Perception

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

17. Thank You