Trybus Marek, Bednarek Marcin, Budzyński Piotr, Gniadek Maksymilian, Lorkowski Jacek
Klinika Medycyny Ratunkowej i Obrazeń, Wielonarzadowych, Kraków.
Przegl Lek. 2012;69(9):663-6.
Ledderhose's disease is a rare fibromatosis affecting plantar aponeurosis. Clinical picture and risk factors resemble the ones found in much more common cases of Dupuytren's disease.
The group of 101 patients with Dupuytren's disease qualified for surgical treatment constituted material for the study. Within that group incidence of Ledderhose's disease was assessed on the basis of clinical and ultrasound examination. Estimation of the presence of risk factors common for both forms of fibromatosis was also evaluated.
Ledderhose's disease was found in 15 patients (14.85%) suffering from Dupuytren's contracture. Bilateral Ledderhose's disease was found in 10 of them. Established risk factors were similar to the ones found in Dupuytren's disease--tobacco and alcohol dominated. Indications for the surgical treatment were limited to the symptomatic cases of the disease. Two feet in 4 patients were operated on. Surgical technique was presented in broad outline. Pain relief on walking and normalization of feet pressure distribution were achieved in all cases.
莱德霍斯病是一种罕见的影响足底腱膜的纤维瘤病。其临床表现和危险因素与更为常见的杜普伊特伦挛缩症相似。
101例符合手术治疗条件的杜普伊特伦挛缩症患者组成了研究材料。在该组患者中，基于临床和超声检查评估莱德霍斯病的发病率。同时还评估了两种纤维瘤病共有的危险因素。
在15例（14.85%）患有杜普伊特伦挛缩症的患者中发现了莱德霍斯病。其中10例为双侧莱德霍斯病。已确定的危险因素与杜普伊特伦挛缩症相似——以吸烟和饮酒为主。手术治疗仅限于该病的症状性病例。4例患者的两只脚接受了手术。简要介绍了手术技术。所有病例均实现了行走时疼痛缓解和足部压力分布正常化。
