Plantar fibromatosis is a benign, fibroblastic, proliferative connective tissue disorder of the superficial plantar aponeurosis. This condition, also known as Ledderhose disease, belongs to a family of similar diseases, including Peyronie and Dupuytren diseases, first described in 1610 by Plater. George Ledderhose, a German physician, initially described the disorder in 1897 after observing 50 patients with painful sole lesions. Ledderhose disease is diagnosed by identifying nodules within the central or medial plantar fascia bands. Patients with plantar fibromatosis often present with sole lumps, usually in the arch area. These masses may be singular or multiple and may occur unilaterally or bilaterally. Onset is slow, and patients usually present with pain and swelling in the medial, non-weight-bearing plantar foot surfaces after the disease becomes locally aggressive. The plantar aponeurosis (plantar fascia) is a thick connective tissue band supporting the foot arch composed primarily of collagen fibers arranged in a dense, fibrous matrix. This fibrous structure extends from the heel bone (calcaneus) to the toe bases and helps absorb shock during walking and running (see . Plantar Aponeurosis). The plantar fascia is divided into 3 distinct bands: medial, central, and lateral. The medial band is the thickest and strongest portion, while the lateral band is thinner and less prominent. These bands work together to distribute forces evenly across the foot and maintain the arches during movement. Additionally, the plantar fascia is richly supplied with blood vessels and nerves, contributing to its ability to heal and transmit sensory information. In plantar fibromatosis, nodules or fibrous growths may develop within the plantar fascia, typically in the foot's central or medial portion, leading to pain, discomfort, and limited mobility. Adjacent anatomical structures relevant to plantar fibromatosis include the foot muscles and tendons, such as the flexor digitorum brevis and abductor hallucis, which interact closely with the plantar fascia. Nerves supplying sensory information to the foot, such as the medial and lateral plantar nerves, and blood vessels providing oxygen and nutrients to the tissues are also important considerations in the anatomy of plantar fibromatosis.
足底纤维瘤病是一种发生于足底浅筋膜的良性、成纤维细胞增生性结缔组织疾病。这种病症也被称为莱德霍斯病，属于一类相似疾病，包括佩罗尼氏病和迪皮特朗挛缩症，最早由普拉特于1610年描述。德国医生乔治·莱德霍斯在观察了50例足底疼痛性病变患者后，于1897年首次描述了这种疾病。莱德霍斯病通过识别足底中央或内侧筋膜带内的结节来诊断。足底纤维瘤病患者通常表现为足底肿块，通常位于足弓区域。这些肿块可能是单个或多个，可单侧或双侧出现。发病缓慢，疾病局部侵袭后，患者通常在内侧非负重的足底表面出现疼痛和肿胀。足底腱膜（足底筋膜）是一条厚实的结缔组织带，支撑足弓，主要由排列在致密纤维基质中的胶原纤维组成。这种纤维结构从跟骨延伸至脚趾基部，有助于在行走和跑步时吸收冲击（见“足底腱膜”）。足底筋膜分为3条不同的带：内侧、中央和外侧。内侧带是最厚且最强壮的部分，而外侧带较薄且不太明显。这些带共同作用，将力量均匀分布于足部，并在运动过程中维持足弓。此外，足底筋膜有丰富的血管和神经供应，有助于其愈合和传递感觉信息。在足底纤维瘤病中，结节或纤维性增生可能在足底筋膜内形成，通常在足部的中央或内侧部分，导致疼痛、不适和活动受限。与足底纤维瘤病相关的相邻解剖结构包括足部肌肉和肌腱，如趾短屈肌和拇展肌，它们与足底筋膜密切相互作用。向足部提供感觉信息的神经，如足底内侧神经和足底外侧神经，以及为组织提供氧气和营养的血管，也是足底纤维瘤病解剖结构中的重要考量因素。
