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

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• History
• Study Design
• Observations
• Results

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Definition

• a benign fibroproliferative disorder of the
  plantar aponuerosis
• (reference?)

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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

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Study Design

• Prospective Case Series
• Blackburn Royal Infirmary
• 1980-2006
• Ethical approval obtained
• Clinically diagnosed
• Serial Clinic reviews
• Final review July 2006

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Study Design

• Clinically diagnosed
• Management
• No intervention in 35 (study group)
• Surgical excision in x (excluded)
• Serial Clinic reviews
• Final review July 2006

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Observations

• N 35
• Males 22 (62.9)
• Females 13 (37.1)
• All patients white Caucasians

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Demographics
N35 All white Caucasian
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Age at presentation

• Range 19-63
• Mean (SD) 42.3(10.6)
• Median (IQR) 45.0(33-51)

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Follow Up

• Range 2-25 years
• Mean (SD) 10.2 (5.9)
• Median (IQR) 10 (7-12)

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Associations
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Presentation of the disease
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Difference in Pain Scores
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Progression in AOFAS Scores
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Subjective Perception
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Interpretation

• Benign self-limiting condition
• Reassurance
• Wait watch
• Subtotal fasciectomy for severe symptoms

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Thank You