Ledderhose disease

Case contributed by Dr Matteo Ziliotto

Presentation

Palpable painful mass along the plantar aspect of the foot.

Patient Data

Age: 60 - 65
Gender: Female
Ultrasound

Fusiform mass of about 2 cm in the subcutaneous tissue superficial to the plantar aponeurosis with heterogeneous structure and a few thin hyperechoic septa; no flows on color Doppler.

MRI

A nodular soft tissue mass with ill defined margins in the distal plantar fascia, adjacent to the muscles, with low - intermediate signal on T1w and T2w sequences.

Case Discussion

The Ledderhose disease (or plantar fibromatosis) is a benign disorder due to a fibrous proliferation arising within the plantar aponeurosis.

Patients present with one or more, soft - tissue subcutaneous mass on the medial aspect of the sole of the foot, painful or not.

At US the lesion is hypoechoic or mixed echogenic, with or without flows inside on Color and Power Doppler; on MR imaging the nodule has low signal intensity on T1w sequences and low - intermediate signal intensity on T2 sequences.

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Case information

rID: 50888
Case created: 26th Jan 2017
Last edited: 10th May 2017
Inclusion in quiz mode: Included

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