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莱德霍斯病

Ledderhose's Disease.

作者信息

Jaai Manare, Kassi Khaoula, Aymane Araj, El Oumri Ahmed Amine

机构信息

Physical Medicine and Rehabilitation, Faculty of Medicine of Oujda/Mohammed VI University Hospital of Oujda/Mohammed First University of Oujda, Oujda, MAR.

出版信息

Cureus. 2024 Jul 15;16(7):e64593. doi: 10.7759/cureus.64593. eCollection 2024 Jul.

DOI:10.7759/cureus.64593
PMID:39144885
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11324007/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67de/11324007/113890272d08/cureus-0016-00000064593-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67de/11324007/ece64edea912/cureus-0016-00000064593-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67de/11324007/d70c46f75e76/cureus-0016-00000064593-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67de/11324007/fc723d26aa80/cureus-0016-00000064593-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67de/11324007/113890272d08/cureus-0016-00000064593-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67de/11324007/ece64edea912/cureus-0016-00000064593-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67de/11324007/d70c46f75e76/cureus-0016-00000064593-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67de/11324007/fc723d26aa80/cureus-0016-00000064593-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67de/11324007/113890272d08/cureus-0016-00000064593-i04.jpg

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Ledderhose's Disease: An Up-to-Date Review of a Rare Non-Malignant Disorder.莱德霍斯病:一种罕见的非恶性疾病的最新综述
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High-energy focussed extracorporeal shockwave therapy reduces pain in plantar fibromatosis (Ledderhose's disease).高能聚焦体外冲击波疗法可减轻足底纤维瘤病(莱德霍斯病)的疼痛。
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[Ledderhose's disease. Report of 7 cases].[莱德霍斯病。7例报告]
J Chir (Paris). 1990 Nov;127(11):533-6.

本文引用的文献

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Plantar Fibromatosis: Pathophysiology, Surgical and Nonsurgical Therapies: An Evidence-Based Review.足底纤维瘤病:病理生理学、手术及非手术治疗:基于证据的综述
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Endoscopic Subtotal Fasciectomy of the Foot.足部内镜下筋膜次全切除术
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Very low protein diets supplemented with keto-analogues in ESRD predialysis patients and its effect on vascular stiffness and AVF Maturation.
终末期肾病透析前患者补充酮类似物的极低蛋白饮食及其对血管硬度和动静脉内瘘成熟的影响。
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Safety and effectiveness of vibration massage by deep oscillations: a prospective observational study.深度振动按摩的安全性和有效性:一项前瞻性观察研究。
Evid Based Complement Alternat Med. 2013;2013:679248. doi: 10.1155/2013/679248. Epub 2013 Oct 3.
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Squamous cell carcinoma and ledderhose disease: a case report.鳞状细胞癌与莱德勒氏病:一例报告
Int J Low Extrem Wounds. 2013 Dec;12(4):297-300. doi: 10.1177/1534734613502044. Epub 2013 Nov 9.
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Plantar fibromatosis--topical review.足底纤维瘤病——专题综述。
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8
High-energy focussed extracorporeal shockwave therapy reduces pain in plantar fibromatosis (Ledderhose's disease).高能聚焦体外冲击波疗法可减轻足底纤维瘤病(莱德霍斯病)的疼痛。
BMC Res Notes. 2012 Oct 2;5:542. doi: 10.1186/1756-0500-5-542.
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Dermatologic presentations of orthopedic pathologies: a review of diagnosis and treatment.骨科疾病的皮肤科表现:诊断与治疗综述。
Am J Clin Dermatol. 2012 Oct 1;13(5):293-310. doi: 10.2165/11595880-000000000-00000.
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Plantar fibromatosis.足底纤维瘤病
Clin Podiatr Med Surg. 2005 Jan;22(1):11-8. doi: 10.1016/j.cpm.2004.08.002.