Plantar Fibromas: Causes, Symptoms, and Management Introduction Plantar fibromas are typically painless masses found on the plantar aspect of the foot.
Plantar Fibromas: Causes, Symptoms, and Management Plantar fibromas are typically painless masses found on the plantar aspect of the foot. Plantar fibromas occur more commonly in men and in patients aged 30 to 50 years old. Fibromas histologically appear as a benign proliferation of fibroblastic tissue.
Fibromas form through a proliferative phase of cellular growth followed by replacement with fibrous tissue. During the active stage there may be contraction within the plantar aponeurosis in a process similar to a Dupuytren contracture. The diagnosis of multiple plantar fibromas has historically been called plantar fibromatosis and Ledderhose disease.
Diagnosis Patients typically complain of a soft tissue mass within the midfoot. Approximately 72% of plantar fibromas are found in the medial portion of the midtarsus region of the foot. Patients may complain of pain with weight bearing or when pressure is applied.
Diagnosis is typically assisted with an MRI or ultrasound. Standard radiographs will not show a fibroma as they typically have no calcification. An MRI can be used to make the diagnosis of a plantar fibroma.
Contrast is typically required, as on a T2 image the fibroma is less bright than fluid. MRI can be valuable to also rule out a sarcoma. Contrast enhanced MRI image of a plantar fibroma An ultrasound can also be used to make the diagnosis of a plantar fibroma.
If you are experiencing symptoms that may be related to plantar fibromas, it is important to see a sports medicine physician. Early evaluation and treatment typically lead to better outcomes. Do not ignore pain or symptoms that are limiting your activity.
*This article is for educational purposes only and does not substitute for professional medical advice. Always consult a qualified healthcare provider.*
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