Plantar fibromatosis

Case contributed by Domenico Nicoletti
Diagnosis certain

Presentation

For six months, the patient reported experiencing pain and a palpable lump in the sole of the right foot, with no associated heel pain.

Patient Data

Age: 60 years
Gender: Male
ultrasound

Sonographic features

In the midfoot, there's a fusiform nodular thickening of the plantar fascia (PF) with regular margins, hypoechoic, poorly vascularized of approximately 3 cm.

Case Discussion

The typical finding of plantar fibromatosis is a single fusiform, hypoechoic, well-demarcated nodule, from proliferation of fibroblasts, without vascularization, usually located in the median portion of the plantar fascia in the absence of calcifications.

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