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Ledderhose Disease Plantar Fibromatosis Wheeless (Visit this link)
Wheeless' Textbook of Orthopaedics
disorder of unknown etiology characterised by local proliferation of abnormal fibrous tissue in the plantar fascia
- this tissue is locally aggressive and progressively replaces the normal plantar aponeurosis
- this leads to often painful thickened fascia with nodules from 0,5-3 cm in diameter
- may also infiltrate the dermis or very rarely the flexor tendon sheath (flexion contracture of 2nd toe)
- age range from childhood until 6th decade, more common in men than in women
- 25 % of patients have bilateral involvement
- in older people sometimes associated to other fibromatoses like Dupuytren's in the hand or La Peyronie's disease,
a fibrous infiltration of the corpora cavernosa
- increased incidence in patients with:
- diabetes mellitus
- seizure disorders
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Added: Thu Jan 31 2002
Last Modified: Tue Oct 23 2007
