Surgical Treatment of a Case of Ledderhose’s Disease: A Safe Plantar Approach to Subtotal Fasciectomy

Plantar fibromatosis, Ledderhose’s disease, or Morbus Ledderhose is an uncommon benign nodular hyperplasia of the plantar aponeurosis. The aim of this paper was to report the case of a 47-year-old male patient who had concomitant Dupuytren’s disease and failed all conservative measures. He was treat...

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Main Authors: Bruno Gonçalves Schröder e Souza, Gilberto Zaquine de Souza Júnior, Raíssa Mansilla Cabrera Rodrigues, Diogo Stelito Rezende Dias, Valdeci Manoel de Oliveira
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2015/509732
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author Bruno Gonçalves Schröder e Souza
Gilberto Zaquine de Souza Júnior
Raíssa Mansilla Cabrera Rodrigues
Diogo Stelito Rezende Dias
Valdeci Manoel de Oliveira
author_facet Bruno Gonçalves Schröder e Souza
Gilberto Zaquine de Souza Júnior
Raíssa Mansilla Cabrera Rodrigues
Diogo Stelito Rezende Dias
Valdeci Manoel de Oliveira
author_sort Bruno Gonçalves Schröder e Souza
collection DOAJ
description Plantar fibromatosis, Ledderhose’s disease, or Morbus Ledderhose is an uncommon benign nodular hyperplasia of the plantar aponeurosis. The aim of this paper was to report the case of a 47-year-old male patient who had concomitant Dupuytren’s disease and failed all conservative measures. He was treated surgically with prompt and complete relief of symptoms postoperatively, and he has had no recurrence at the 2-year follow-up. In this richly documented case, we discuss details of the surgical technique and anatomy, which was important for a successful outcome and preventing complications. The technique for subtotal fasciectomy is reviewed and the relevance of the adequate choice of skin incision to prevent painful scarring, skin necrosis, and difficulties with shoe wearing is highlighted.
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series Case Reports in Orthopedics
spelling doaj-art-63a2cb06e2ee4d37a6bc4b13b08dcfea2025-02-03T01:01:33ZengWileyCase Reports in Orthopedics2090-67492090-67572015-01-01201510.1155/2015/509732509732Surgical Treatment of a Case of Ledderhose’s Disease: A Safe Plantar Approach to Subtotal FasciectomyBruno Gonçalves Schröder e Souza0Gilberto Zaquine de Souza Júnior1Raíssa Mansilla Cabrera Rodrigues2Diogo Stelito Rezende Dias3Valdeci Manoel de Oliveira4Faculty of Medical Sciences and Health of Juiz de Fora (FCMS/JF - SUPREMA), BR 040, km 796, Salvaterra, 36045-410 Juiz de Fora, MG, BrazilFaculty of Medical Sciences and Health of Juiz de Fora (FCMS/JF - SUPREMA), BR 040, km 796, Salvaterra, 36045-410 Juiz de Fora, MG, BrazilFaculty of Medical Sciences and Health of Juiz de Fora (FCMS/JF - SUPREMA), BR 040, km 796, Salvaterra, 36045-410 Juiz de Fora, MG, BrazilFaculty of Medical Sciences and Health of Juiz de Fora (FCMS/JF - SUPREMA), BR 040, km 796, Salvaterra, 36045-410 Juiz de Fora, MG, BrazilFaculty of Medical Sciences and Health of Juiz de Fora (FCMS/JF - SUPREMA), BR 040, km 796, Salvaterra, 36045-410 Juiz de Fora, MG, BrazilPlantar fibromatosis, Ledderhose’s disease, or Morbus Ledderhose is an uncommon benign nodular hyperplasia of the plantar aponeurosis. The aim of this paper was to report the case of a 47-year-old male patient who had concomitant Dupuytren’s disease and failed all conservative measures. He was treated surgically with prompt and complete relief of symptoms postoperatively, and he has had no recurrence at the 2-year follow-up. In this richly documented case, we discuss details of the surgical technique and anatomy, which was important for a successful outcome and preventing complications. The technique for subtotal fasciectomy is reviewed and the relevance of the adequate choice of skin incision to prevent painful scarring, skin necrosis, and difficulties with shoe wearing is highlighted.http://dx.doi.org/10.1155/2015/509732
spellingShingle Bruno Gonçalves Schröder e Souza
Gilberto Zaquine de Souza Júnior
Raíssa Mansilla Cabrera Rodrigues
Diogo Stelito Rezende Dias
Valdeci Manoel de Oliveira
Surgical Treatment of a Case of Ledderhose’s Disease: A Safe Plantar Approach to Subtotal Fasciectomy
Case Reports in Orthopedics
title Surgical Treatment of a Case of Ledderhose’s Disease: A Safe Plantar Approach to Subtotal Fasciectomy
title_full Surgical Treatment of a Case of Ledderhose’s Disease: A Safe Plantar Approach to Subtotal Fasciectomy
title_fullStr Surgical Treatment of a Case of Ledderhose’s Disease: A Safe Plantar Approach to Subtotal Fasciectomy
title_full_unstemmed Surgical Treatment of a Case of Ledderhose’s Disease: A Safe Plantar Approach to Subtotal Fasciectomy
title_short Surgical Treatment of a Case of Ledderhose’s Disease: A Safe Plantar Approach to Subtotal Fasciectomy
title_sort surgical treatment of a case of ledderhose s disease a safe plantar approach to subtotal fasciectomy
url http://dx.doi.org/10.1155/2015/509732
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