Jaai Manare, Kassi Khaoula, Aymane Araj, El Oumri Ahmed Amine
Physical Medicine and Rehabilitation, Faculty of Medicine of Oujda/Mohammed VI University Hospital of Oujda/Mohammed First University of Oujda, Oujda, MAR.
Cureus. 2024 Jul 15;16(7):e64593. doi: 10.7759/cureus.64593. eCollection 2024 Jul.
Ledderhose disease, also known as plantar fibromatosis, is a rare fibroproliferative disorder characterized by the development of fibrous nodules within the plantar fascia of the foot. These nodules cause discomfort, pain, and impaired mobility, particularly during activities like walking, and are often associated with other fibromatoses, such as Dupuytren's disease. In this case, a 60-year-old woman presented with significant plantar pain exacerbated by walking, along with swelling in the arch of her foot. The diagnosis involved a clinical examination that revealed nodules and tenderness in the plantar fascia, and ultrasound imaging confirmed the presence of fibrotic tissue. Due to the patient's preference for non-surgical management, a conservative approach was adopted. This included the use of medications, orthotic devices, and physical therapy. This case underscores the effectiveness of non-surgical interventions in managing Ledderhose disease, highlighting the importance of personalized treatment plans tailored to patient preferences.
莱德霍斯病,也称为足底纤维瘤病,是一种罕见的纤维增生性疾病,其特征是在足部足底筋膜内形成纤维结节。这些结节会引起不适、疼痛和活动受限,尤其是在行走等活动期间,并且常与其他纤维瘤病相关,如杜普伊特伦挛缩症。在本病例中,一名60岁女性因行走而出现严重的足底疼痛,并伴有足弓肿胀。诊断包括临床检查,发现足底筋膜有结节和压痛,超声成像证实存在纤维化组织。由于患者倾向于非手术治疗,因此采取了保守方法。这包括使用药物、矫形器械和物理治疗。该病例强调了非手术干预在治疗莱德霍斯病方面的有效性,突出了根据患者偏好制定个性化治疗方案的重要性。