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Plantar Fibromatosis - a benign condition

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Plantar Fibromatosis - a benign condition G Rathore, S Bassi, S Gujral, R Suneja, J Barrie East Lancs Foot + Ankle Service History Study Design Observations Results ... – PowerPoint PPT presentation

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Title: Plantar Fibromatosis - a benign condition


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 lHotel 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 - Dupuytrens 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
N35 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
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