Plantar Fibromatosis

Plantar fibromatosis, or Dupuytren's contracture of the plantar fascia, does not occur as commonly as in the hand. Plantar fibromatosis is a disorder of fibrous tissue proliferation, which slowly invades the skin and soft tissues. Presentation is generally in adolescence or young adulthood. Patients present with small (0.5 to 1.0 cm), asymptomatic, palpable, slowly enlarging, fixed, firm masses on the plantar aspect of one or both feet. These lesions tend to be in the non-weight-bearing areas of the foot. Toe contractures do not occur. These lesions have a tendency to reabsorb spontaneously. Treatment is conservative, and only rarely is surgery indicated. These patients should be referred to the appropriate consultant for continued care. 2 2 37

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