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14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

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Anatomy, frequency and distribution pattern of plantar fibromatosis (Ledderhose’s disease)

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  • presenting/speaker Martin Franz Langer - Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster, Münster, Germany
  • Simon Oeckenpöhler - Universitätsklinikum Münster, Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Sektion Handchirurgie, Münster, Germany
  • Britta Wieskoetter - Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster, Sektion Hand, Münster, Germany

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-1464

doi: 10.3205/19ifssh0439, urn:nbn:de:0183-19ifssh04398

Published: February 6, 2020

© 2020 Langer et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

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Objectives/Interrogation: The distribution pattern of the palpable nodes on the sole of the foot was documented in 174 patients with Ledderhose disease and the concomitant diseases from Dupuytren diathesis were recorded.

After years of collection, the evaluation should be made.

Methods: Most of the patients were requisitioned by the Dupuytren contracture on the hand. The sole of the foot was divided into 25 zones and the tactile knots were drawn and photographed. Any contractures on the toes were also recorded. The first appearance on the foot, on the hand, Garrod's knot and Peyroni's disease, Grade of the disease in the hand and foot were documented.

Results and Conclusions: The frequency of Ledderhose disease in patients undergoing Dupuytren surgery is 12.3%. Only a few patients (11) had no signs of Dupuytren's disease. The central zones of the 1st and 2nd toes are by far the most frequently affected. An infestation of the toes was found only in 3 patients - without contractures. Garrod's knots were found in twenty-six patients. Only 1 patient was simultaneously treated urologically with Peyronie's disease. Only 10 patients were operated on due to disturbing large nodes on the foot. The postoperative recovery time is long, so that an indication for surgery is only made in exceptional cases.

Though the anatomy of the plantar aponeurosis has a lot of similarities to the palmar aponeurosis, the distribution of the affected parts differs a lot.