Orthopedics Book

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Plantar Fibromatosis

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  1. Definition
    1. Fibrous proliferation of plantar fascia
    2. Similar to Dupuytren's Contracture of palm
  2. Symptoms
    1. Slow enlargement of a painless subcutaneous Nodule
    2. Eventually becomes tender
  3. Signs
    1. Involves medial half of middle of plantar fascia
    2. Contractures rarely occur
  4. Differential Diagnosis
    1. Plantar Fasciitis
  5. Management
    1. Molded Orthotic
      1. Allows transfer of weight away from Nodule
    2. Surgery
      1. Indicated when weight bearing becomes painful
      2. Often recurs after excision

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