Vojnosanit Pregl. 2011 Oct; 68(10): 886-90
Nikolić J, Janjić Z, Momcilović D, Ninković S, Harhai V

Fibromatosis represents a wide group of benign, locally proliferative disorders of fibroblasts. Dupuytren's disease is a benign proliferative disease of palmar aponeurosis which usually affects adults between 40 and 60 years of age. Ledderhose's disease or plantar fibromatosis is plantar equivalent of Dupuyten's disease most often affecting middle-aged and older men, usually bilateral, represented with painless nodule in the medial division of plantar fascia.We presented a 19-year old adolescent that turned to a plastic surgeon complaining to his small finger contracture. He noticed palmar thickening with nodule over the metacarpophalangeal joint of small finger of his right hand when he was 16 years old. A year later a finger started to band. During physical checkup we noticed plantar nodule that also had his father and grandmother. Magnetic resonance and tumor biopsy confirmed a suspicion on plantar fibromatosis - Ledderhose's disease. Clinical exam of the hand clearly led to a conclusion that the patient had Dupuytren's contracture with pretendinous cord over the small finger flexor tendons and lack of extension of proximal interphalangeal (PIP) joint. On the extensor side of the PIP joints there were Garrod's nodes. The patient refused surgical treatment of plantar tumor, but agreed to surgical correction of finger contracture.Despite the fact that Dupuytren's disease and plantar fibromatosis are diseases of adults, the possibility of conjoint appearance of these forms of fibromatosis in adolescent period of life should be kept in mind especially in patients with strong genetic predisposition.

Acta Orthop Belg. 2011 Feb; 77(1): 27-32
Degreef I, De Smet L

In order to investigate the prognostic value of possible risk factors for Dupuytren's diathesis, clinical parameters on disease presentation in an operated group of patients were compared with self-reported recurrence after a minimum 2 years follow-up. In order of significance, the following factors were found to be significantly correlated with disease recurrence : age of onset under 50 years (p = 0.01), bilateral disease (p = 0.01), Ledderhose disease (p = 0.01), first ray involvement (p = 0.02), multiple ray involvement (more than 2 digits, p = 0.02), ectopic fibromatosis (p = 0.02), family occurrence (p = 0.04) and male gender (p = 0.05). No correlation of self-reported disease recurrence was seen with diabetes, frozen shoulder syndrome or epilepsy. An insight in the significance of the influence of specific risk factors on recurrence rates, helps in creating a clearer representation of Dupuytren's diathesis. This will help the surgeon to more accurately inform the patient and possibly to reconsider and adjust the choice in treatment options.

Acta Reumatol Port. 2010 Oct-Dec; 35(5): 529-30
Oliveira EA, Pato T, Barcelos A

J Clin Aesthet Dermatol. 2010 Sep; 3(9): 45-7
Fausto de Souza D, Micaelo L, Cuzzi T, Ramos-E-Silva M

Plantar fibromatosis, or Ledderhose disease, is a rare hyperproliferative disorder of the plantar aponeurosis. It may occur at any age with the greatest prevalence at middle age and beyond. This disorder is more common in men than woman and it is sometimes associated with other forms of fibromatosis. A 28-year-old Brazilian woman with a six-year history of painless bilateral plantar nodules is described in this article.

Acta Orthop Belg. 2008 Aug; 74(4): 456-60
Degreef I, Steeno P, De Smet L

Dupuytren's disease is very common, with a prevalence of up to 40% in the Scandinavian population. Although many epidemiological surveys have been conducted, little is known about its aetiology. Multiple risk factors in Dupuytren's disease have been identified. About 80% of the affected patients are male. Even though recent data suggest similar outcome after surgical treatment in the female patient, recurrence after surgery is more frequent. To assess Dupuytren's disease in women, a record analysis and a survey of risk factors was conducted in 130 female patients surgically treated at our institution between 1988 and 2005. With a response rate of 52%, 65 women were included (6 patients were confirmed dead). The mean age of onset of the disease was 50 years and 6 months. After a mean follow-up of 7 years and 7 months (2y1m to 21y9m), recurrent disease after surgery was reported in 42%. Bilateral disease was present in 54%, unilateral in 26% right and 20% left hands. The fifth finger was involved in 77%, the 4th finger in 48% and the 1st ray in 14%. Ectopic lesions were seen in 19%, with a positive family history in 55%. Only one patient had a confirmed alcohol abuse; 22% were smokers. There were 32% manual workers. Shoulder pain was present in 54% of the patients, with confirmed diagnosis of frozen shoulder syndrome in 45%. High cholesterol was diagnosed in 39% and only 6% had diabetes. Epilepsy was seen in 5%. High disease recurrence and factors related to an aggressive course of the disease are present in female patients with Dupuytren's contracture, with a high family history occurrence, bilateral disease and associated Ledderhose disease. Several known risk factors were present: high cholesterol, smoking and manual work. Frozen shoulder showed a very high prevalence in women with Dupuytren's disease.

Radiol Med. 2001 Jan-Feb; 101(1-2): 91-2
Draghi F, Ippolito S, Sosio D, Pietrobono L, Ferrozzi G

Zentralbl Chir. 1991; 116(8): 531-4
Parnitzke B, Decker O, Neumann U

The Ledderhose's diseases is a relatively rare and not well known clinical picture. Even there are tight pathomorphological and clinical relations to the Dupuytren's contracture, the genesis is also here quite unknown. Because of inefficiency of conventional therapy the surgical treatment is the only alternative. On the sample of 12 operations in 7 patients from 1979 to 1989 surgical procedure and long-term results are discussed.

Arch Putti Chir Organi Mov. 1991; 39(2): 335-9
Bardelli M, D'Arienzo M, Veneziani C

The authors describe the clinical appearance of Ledderhose disease and emphasize the association with Dupuytren disease. They report on a series of patients treated at the 2nd Orthopedic Unit of University of Florence and describe the operating technique used. They believe that the procedure of removal of nodules must always be performed in association with careful exeresis of normal tissue, employing total aponeurectomy only in revision surgery.

G Ital Dermatol Venereol. 1983 Nov-Dec; 118(6): 393-6
Sala F, Crosti C, Cavicchini S, Cusini M

Chir Ital. 1982 Dec; 34(6): 1005-8
Bottinelli NF

After a preliminary note, the Author gives the casuistic survey of 30 patients, surgically treated during 12 years about. Moreover, a per cent analysis is done about the different possibilities of incidence of Ledderhose's disease in the cases considered. As a conclusion, the Author remembers the operative technique which gave the best results. Wide partial aponeurectomy.

Schweiz Med Wochenschr. 1982 May 1; 112(18): 653-8
Villiger KJ

Fibromatosis plantaris, also called Ledderhose disease, is presented on the basis of the limited literature available. The possible causes are mentioned. Two cases are reported of patients suffering from fibromatosis palmaris (Dupuytren) on both hands and fibromatosis plantaris (Ledderhose) on both feet simultaneously. It is suggested that more attention be paid to examination of the soles of the feet, especially after a period of immobilization and plaster fixation of the shank. On diagnosis of Ledderhose disease, surgery should be performed before the often irreversible deformation of the toes develops.

Reumatizam. 1976; 23(6): 213-6
Milić D