HTHSCI 2F03 Lecture Notes - Lecture 10: Plantar Fibromatosis, Retroperitoneal Fibrosis, Plantar Fascia
26 Dec 2020
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Document Summary
Tendon nodule which catches on proximal side of tendon sheath triggering on forced extension. Rx: steroid injection (high recurrence) or surgery. Mucoid degeneration of joint capsule or tendon sheath. May be in communication c joint capsules / tendons. May cause pain or nerve pressure symptoms. Progressive, painless fibrotic thickening of palmar fascia. Fixed flexion contracture of ring and little fingers. E. g. when hand can"t be placed flat on the table. Great toe deviates laterally @ mtp joint. Pressure of mtp against shoe bunion. Wt. bearing @ 2nd metatarsal head. Conservative: bunion pads, plastic wedge between great and second toes. Entrapment of lat. cutaneous nerve of thigh. Pain paraesthesia on the lateral thigh. Risk c obesity: compression by belts, underwear. Can occasionally be damaged in lap hernia repair. Patellar aching after prolonged sitting or climbing stairs. Popliteal swelling arising between the medial head of gastrocnemius and semimembranosus muscle. Pain from pressure on an interdigital neuroma between the metatarsals.
