Plantar fibromas

NewsBot · Mar 31, 2018

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The Effect of Mitomycin C on Recurrence of Plantar Fibromas
Kamil M. Amer MD Sana Mohamed DPM Rami Amer BS Ahmed Chaudhry BS Brian Winters MD John A. Abraham MD
Journal of Orthopaedic Research: 30 March 2018

Although certainly not the first line treatment for plantar fibromas, surgical resection is a treatment option for some patients with have failed exhaustive non‐surgical treatment. The use of topical Mitomycin C has been recently shown to reduce the recurrence rate of other fibrous lesions. The purpose of this study was to determine the impact of topical application of Mitomycin C on recurrence rate of plantar fibromas. A retrospective analysis was done from a prospectively gathered database with a total 50 consecutive patients over a 16‐month study period. The control group (n = 29) consisted of patients who underwent only surgical resection, while the study group (n = 21) consisted of patients who underwent surgical resection with adjuvant therapy using Mitomycin C. The primary endpoint was local recurrence after the procedure. Secondary end points included complications and toxicity associated with this medication. No patients were lost to follow up. Of the twenty‐nine patients in the control group, there were seventeen patients (17/29, 58.6%) had recurrence of the plantar fibroma at a mean follow‐up of 9.1 months. In contrast, in the experimental study group, all patients were free from local recurrence. No complications or side effects were associated with Mitomycin C use. The results demonstrate that the topical application of Mitomycin C to the tumor bed after surgical resection of plantar fibromas reduced the recurrence rate.
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NewsBot · Sep 13, 2020

Diagnosing plantar fibromas -beware of sarcomas
Jude C.Nduk et al
The Foot; 8 September 2020, 101736

Highlight
•Plantar Fibromas are a common diagnosis in Orthopaedic foot clinic consultation, diagnosis of plantar fibroma is usually from history and examination, and radiological investigation may be needed to confirm diagnosis.
•Misdiagnosis, however, of plantar fibroma have been known to happen.
•We review the management of five cases of plantar soft tissue swellings; we discuss clinical presentation and radiological investigation findings of these cases with the aim of improving knowledge and awareness.
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Plantar Fibromas are a common diagnosis in Orthopaedic foot clinic consultation, diagnosis of plantar fibroma is usually from history and examination, and radiological investigation may be needed to confirm diagnosis. Misdiagnosis, however, of plantar fibroma have been known to happen. We review the management of five cases of plantar soft tissue swellings; we discuss clinical presentation and radiological investigation findings of these cases with the aim of improving knowledge and awareness.
Click to expand...

NewsBot · Dec 5, 2020

Diagnosing plantar fibromas - Beware of sarcomas
Jude C Nduka et al
Foot (Edinb). 2020 Sep 8

Plantar fibromas are a common diagnosis in orthopaedic foot clinic consultation, diagnosis of plantar fibroma is usually from history and examination, and radiological investigation may be needed to confirm diagnosis. Misdiagnosis, however, of plantar fibroma have been known to happen. The management of five cases of plantar soft tissue swellings were reviewed; the clinical presentation and radiological investigation findings of these cases are discussed with the aim of improving knowledge and awareness.
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Ian Reilly (2) · Jan 11, 2021

we just posted on Research Square last year re injections: Intralesional fenestration and corticosteroid injection for symptomatic Ledderhose disease of the foot: two case reports (Flanagan lead author)

NewsBot · May 31, 2022

Plantar Fibroma: A Case Series of Conservative Management
with Orthoses with the Aid of Ultrasonography
Jason Chia et al
International Journal of Sport, Exercise and Health Research 2022; 6(1): 23-26

Plantar fibroma is a benign but locally proliferative cause of heel pain with a high risk of recurrence with local
recurrence and the risk of altering the mechanics of the foot. Various non-surgical management has been reported with
varying efficacy and side effects. This article reports on a series of cases where the symptoms were controlled with the
use of suitably modified orthotics aided by accurate siting of apertures with the use of ultrasonography scans of the
lesions. Effective control of symptoms without side effects allowed the patients to return to their customary physical
activity.
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NewsBot · Jul 18, 2023

Plantar fibroma management with intralesional corticosteroid enabling quality physical activity to limit post-menopause risks.
Caroline Robinson, Kate Freire
source

This presentation describes the impact of plantar fibromatosis (PF) on foot and leg pain in a woman aged 53 and explores the importance of enabling good quality physical activity in menopause.
Alex is a physically fit woman with an 11-year history of PF affecting both feet. The nodules involving the plantar fascia medial band had been slowly increasing in size and becoming more prominent. She has a familial history of Dupytren’s contracture (maternal grandmother and uncle) but has no hand involvement herself.
Alex experienced pain and numbness in her feet when cycling for more than 20 minutes. Running was limited to a gentle 5km jog three days a week due to foot pain and Achilles tendon pain bilaterally. Alex reported “My ability to do exercise is becoming increasingly limited. It is frustrating because exercise has always been important to me, not just physically but for my mental wellbeing and stress relief”.
Following self-guided research and an unhelpful consultation with an orthopaedic surgeon, Alex underwent treatment with local injection of corticosteroid under ankle block anaesthesia. A total of 15mL of Triamcinolone acetonide 10mg/mL was administered on three separate occasions, 4-5 weeks apart. All fibromas responded well to treatment, becoming less prominent and more malleable. Alex experienced a gradual reduction in pain from the treated sites, improved extensibility of the plantar fascia, and reduced Achilles tendon pain.
At 17 weeks following the final injection, Alex reports: “I have gradually built up my running and cycling - I can push myself again. I can now easily run 10km but more importantly, I am running intervals of 200km, doing bike hill intervals and endurance bike rides without pain”.
The significance of improving Alex’s capacity for physical activity and exercise is particularly important considering her age. Alex identifies as being at the stage of postmenopause.
Podiatry interventions which enable women to maintain good quality physical activity will assist in maintaining muscle strength and power, reduce the risk of risk of falls and falls-related injury, protect against the longer-term impacts of menopause including osteoporosis and cardiovascular disease, and improve quality of life related to foot health.
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Plantar fibromas

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Ian Reilly (2) Welcome New Poster

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NewsBot The Admin that posts the news.

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Plantar fibromas

NewsBot The Admin that posts the news.

NewsBot The Admin that posts the news.

NewsBot The Admin that posts the news.

Ian Reilly (2) Welcome New Poster

NewsBot The Admin that posts the news.

NewsBot The Admin that posts the news.

plantar fibromas & cryosurgery

Plantar heel nodules

Plantar heel nodules

Plantar pressures and bone mineral density

High prevalance of HPV in intractable plantar keratosis

Phytoterpenes for the Treatment of Plantar Fasciitis

Treating plantar fasciitis; American Physical Therapy Association guidelines

Share This Page

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