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Case Reports in Orthopedics
Volume 2015, Article ID 509732, 7 pages
Case Report

Surgical Treatment of a Case of Ledderhose’s Disease: A Safe Plantar Approach to Subtotal Fasciectomy

1Faculty of Medical Sciences and Health of Juiz de Fora (FCMS/JF - SUPREMA), BR 040, km 796, Salvaterra, 36045-410 Juiz de Fora, MG, Brazil
2Hospital e Maternidade Therezinha de Jesus, Rua Doutor Dirceu de Andrade 33, São Mateus, 36025-140 Juiz de Fora, MG, Brazil

Received 14 September 2015; Accepted 16 November 2015

Academic Editor: Charbel D. Moussallem

Copyright © 2015 Bruno Gonçalves Schröder e Souza et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Plantar fibromatosis, Ledderhose’s disease, or Morbus Ledderhose is an uncommon benign nodular hyperplasia of the plantar aponeurosis. The aim of this paper was to report the case of a 47-year-old male patient who had concomitant Dupuytren’s disease and failed all conservative measures. He was treated surgically with prompt and complete relief of symptoms postoperatively, and he has had no recurrence at the 2-year follow-up. In this richly documented case, we discuss details of the surgical technique and anatomy, which was important for a successful outcome and preventing complications. The technique for subtotal fasciectomy is reviewed and the relevance of the adequate choice of skin incision to prevent painful scarring, skin necrosis, and difficulties with shoe wearing is highlighted.