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CC BY 4.0 · Surg J (N Y) 2016; 02(03): e102-e104
DOI: 10.1055/s-0036-1593355
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Dupuytren-Like Contracture of the Foot: Ledderhose Disease

Osman Akdag
1   Department of Plastic, Reconstructive, and Aesthetic Surgery, Selcuk University Medical Faculty, Konya, Turkey
,
Gokce Yildiran
1   Department of Plastic, Reconstructive, and Aesthetic Surgery, Selcuk University Medical Faculty, Konya, Turkey
,
Mehtap Karamese
1   Department of Plastic, Reconstructive, and Aesthetic Surgery, Selcuk University Medical Faculty, Konya, Turkey
,
Zekeriya Tosun
1   Department of Plastic, Reconstructive, and Aesthetic Surgery, Selcuk University Medical Faculty, Konya, Turkey
› Author Affiliations
Further Information

Publication History

20 March 2016

09 August 2016

Publication Date:
21 September 2016 (online)

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Abstract

Introduction Plantar fibromatosis is a rare hyperproliferative disease of plantar aponeurosis and is also called Ledderhose disease. Case properties and treatment are discussed in this report.

Case Report A 30-year-old man presented with painful bilateral plantar nodules. He had multiple and bilateral fixed and solid nodules on the plantar and medial side of his feet measuring 1 cm each. Ultrasound was performed and hypoechoic homogeneous nodules were detected. The patient underwent surgery, and the nodes were removed via a plantar incision with 2-cm safety distance.

Discussion Ledderhose disease is a rare, hyperproliferative disorder of the plantar aponeurosis. The nodules are slow growing and found in the medial part of the plantar fascia. The precise etiology remains unknown. The treatment options are conservative management, steroid injections, radiotherapy, and surgery.

Conclusion The main cause of this disease remains uncertain. Related conditions should be evaluated, and a patient who presents with Dupuytren or Peyronie disease should also be investigated for Ledderhose disease.

Keywords

Dupuytren - foot - Ledderhose disease - plantar fibromatosis
 

  • References

  • 1 Heyd R, Dorn AP, Herkströter M, Rödel C, Müller-Schimpfle M, Fraunholz I. Radiation therapy for early stages of morbus Ledderhose. Strahlenther Onkol 2010; 186 (01) 24-29
    CrossrefPubMedGoogle Scholar
  • 2 Fausto de Souza D, Micaelo L, Cuzzi T, Ramos-E-Silva M. Ledderhose disease: an unusual presentation. J Clin Aesthet Dermatol 2010; 3 (09) 45-47
    PubMedGoogle Scholar
  • 3 Knobloch K, Vogt PM. High-energy focussed extracorporeal shockwave therapy reduces pain in plantar fibromatosis (Ledderhose's disease). BMC Res Notes 2012; 5: 542
    CrossrefPubMedGoogle Scholar
  • 4 Motolese A, Mola F, Cherubino M, Giaccone M, Pellegatta I, Valdatta L. Squamous cell carcinoma and Ledderhose disease: a case report. Int J Low Extrem Wounds 2013; 12 (04) 297-300
    CrossrefPubMedGoogle Scholar
  • 5 Pickren JW, Smith AG, Stevenson Jr TW, Stout AP. Fibromatosis of the plantar fascia. Cancer 1951; 4 (04) 846-856
    CrossrefPubMedGoogle Scholar
  • 6 de Bree E, Zoetmulder FA, Keus RB, Peterse HL, van Coevorden F. Incidence and treatment of recurrent plantar fibromatosis by surgery and postoperative radiotherapy. Am J Surg 2004; 187 (01) 33-38
    CrossrefPubMedGoogle Scholar
  • 7 Gudmundsson KG, Jónsson T, Arngrímsson R. Association of Morbus Ledderhose with Dupuytren's contracture. Foot Ankle Int 2013; 34 (06) 841-845
    CrossrefPubMedGoogle Scholar
  • 8 Allen RA, Woolner LB, Ghormley RK. Soft-tissue tumors of the sole; with special reference to plantar fibromatosis. J Bone Joint Surg Am 1955; 37-A (01) 14-26
    PubMedGoogle Scholar
  • 9 Classen DA, Hurst LN. Plantar fibromatosis and bilateral flexion contractures: a review of the literature. Ann Plast Surg 1992; 28 (05) 475-478
    CrossrefPubMedGoogle Scholar
  • 10 Omor Y, Dhaene B, Grijseels S, Alard S. Ledderhose disease: clinical, radiological (ultrasound and MRI), and anatomopathological findings. Case Rep Orthop 2015; 2015: 741461
    PubMedGoogle Scholar
  • 11 Veith NT, Tschernig T, Histing T, Madry H. Plantar fibromatosis—topical review. Foot Ankle Int 2013; 34 (12) 1742-1746
    CrossrefPubMedGoogle Scholar
  • 12 Zgonis T, Jolly GP, Polyzois V, Kanuck DM, Stamatis ED. Plantar fibromatosis. Clin Podiatr Med Surg 2005; 22 (01) 11-18
    CrossrefPubMedGoogle Scholar
  • 13 Meek RM, McLellan S, Reilly J, Crossan JF. The effect of steroids on Dupuytren's disease: role of programmed cell death. J Hand Surg [Br] 2002; 27 (03) 270-273
    CrossrefPubMedGoogle Scholar
  • 14 Ketchum LD, Donahue TK. The injection of nodules of Dupuytren's disease with triamcinolone acetonide. J Hand Surg Am 2000; 25 (06) 1157-1162
    CrossrefPubMedGoogle Scholar
  • 15 Pentland AP, Anderson TF. Plantar fibromatosis responds to intralesional steroids. J Am Acad Dermatol 1985; 12 (1 Pt 2): 212-214
    CrossrefPubMedGoogle Scholar
  • 16 Beckmann J, Kalteis T, Baer W, Grifka J, Lerch K. [Plantar fibromatosis: therapy by total plantarfasciectomy]. Zentralbl Chir 2004; 129 (01) 53-57
    Article in Thieme ConnectPubMedGoogle Scholar
  • 17 Griffith JF, Wong TY, Wong SM, Wong MW, Metreweli C. Sonography of plantar fibromatosis. AJR Am J Roentgenol 2002; 179 (05) 1167-1172
    CrossrefPubMedGoogle Scholar
  • 18 van der Veer WM, Hamburg SM, de Gast A, Niessen FB. Recurrence of plantar fibromatosis after plantar fasciectomy: single-center long-term results. Plast Reconstr Surg 2008; 122 (02) 486-491
    CrossrefPubMedGoogle Scholar
  • 19 Dürr HR, Krödel A, Trouillier H, Lienemann A, Refior HJ. Fibromatosis of the plantar fascia: diagnosis and indications for surgical treatment. Foot Ankle Int 1999; 20 (01) 13-17
    CrossrefPubMedGoogle Scholar