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Case Reports
. 2021 Apr 28:9:2050313X211011813.
doi: 10.1177/2050313X211011813. eCollection 2021.

Intralesional fenestration and corticosteroid injection for symptomatic Ledderhose disease of the foot: Two case reports

George Flanagan  1 , Nicola Burt  1 , Ian N Reilly  1
Affiliations
Case Reports

Intralesional fenestration and corticosteroid injection for symptomatic Ledderhose disease of the foot: Two case reports

George Flanagan et al. SAGE Open Med Case Rep. .

Abstract

The description of corticosteroid injections as a treatment option for Ledderhose disease has received little attention in the literature and often only receives a passing comment in scientific papers. We present a short case series of two patients who underwent corticosteroid injection in combination with fenestration to treat painful Ledderhose disease nodules. Both patients had their lesions injected on two occasions. Significant reduction in pain and lesion volume was seen at 12 months post treatment. Our protocol combines fenestration with the use of triamcinolone acetonide (mixed with local anaesthetic) which we believe conveys further advantage over other steroid preparations or the corticosteroid infiltration alone.

Keywords: Ledderhose disease; corticosteroid injection; fenestration; needling; peppering; plantar fibromatosis; triamcinolone.

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Conflict of interest statement

Declaration of conflicting interests: The author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: The senior author (G.F.) is a consultant for the British Dupuytren’s Society.

Figures

Figure 1.
Figure 1.
Case 1 USS pre-injection (larger, distal lesion).
Figure 2.
Figure 2.
Case 1 USS pre-injection (smaller, proximal lesion).
Figure 3.
Figure 3.
Case 1: second injection without USS. We find that a medial approach rather than a plantar approach is more comfortable for the patient.
Figure 4.
Figure 4.
Case 1: USS post second injection (larger, distal lesion).
Figure 5.
Figure 5.
Case 1: USS post second injection (smaller, proximal lesion).
Figure 6.
Figure 6.
Case 2: USS pre-injection.
Figure 7.
Figure 7.
Case 2: USS post injection.
See this image and copyright information in PMC

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