{"id":10774,"date":"2019-02-12T13:25:24","date_gmt":"2019-02-12T12:25:24","guid":{"rendered":"http:\/\/old.institutcataladelpeu.com\/?p=10774"},"modified":"2019-02-12T13:39:37","modified_gmt":"2019-02-12T12:39:37","slug":"la-malaltia-de-ledderhose-o-fibromatosi-plantar","status":"publish","type":"post","link":"https:\/\/old.institutcataladelpeu.com\/ca\/la-malaltia-de-ledderhose-o-fibromatosi-plantar\/","title":{"rendered":"La malaltia de Ledderhose o fibromatosi plantar"},"content":{"rendered":"

La malaltia de Ledderhose \u00e9s un tipus de fibromatosi plantar caracteritzat per l\u2019engruiximent i aparici\u00f3 de n\u00f2duls benignes d’aparen\u00e7a dura i rodona o aplanada localitzats a la part central o medial de la f\u00e0scia plantar o aponeurosi dels peus. Es presenta majorment en pacients de mitjana edat o edats avan\u00e7ades i \u00e9s 10 vegades superior l’afectaci\u00f3 en homes que en dones, aix\u00ed com predominantment en la ra\u00e7a blanca. En el 25% dels casos \u00e9s bilateral. Aquests n\u00f2duls poden provocar dolor en caminar o en bipedestaci\u00f3 sobretot quan van augmentant de grand\u00e0ria. Els n\u00f2duls m\u00e9s superficials s\u00f3n m\u00e9s petits, m\u00e9s delimitats i menys simptom\u00e0tics que els n\u00f2duls profunds.<\/p>\n

La malaltia de Ledderhose pot anar associada a altres patologies fibrosantes com la malaltia de Peyronie o la contracci\u00f3 de Dupuytren.<\/p>\n

La causa que produeix la malaltia de Ledderhose \u00e9s d’origen desconegut, encara que es relaciona amb l’epil\u00e8psia i la diabetis mellitus, malalties hep\u00e0tiques cr\u00f2niques o traumatismes repetits.<\/p>\n

El diagn\u00f2stic de la malaltia de Ledderhose \u00e9s cl\u00ednic, encara que l’ecografia i majorment la resson\u00e0ncia magn\u00e8tica ajuden a confirmar i avaluar el grau de la malaltia. La bi\u00f2psia i l’an\u00e0lisi histopatol\u00f2gica tamb\u00e9 s\u00f3n proves determinants.<\/p>\n

Els tractaments en la malaltia de Ledderhose s\u00f3n de diferent \u00edndole. En un primer estadi es poden aplicar tractaments conservadors tals com l’\u00fas de cal\u00e7at adequat, plantilles ortop\u00e8diques per a descarregar els n\u00f2duls, fisioter\u00e0pia, injeccions de corticoides per a disminuir la grand\u00e0ria d’aquests i radioter\u00e0pia a l’inici de la patologia o b\u00e9 en casos ja intervinguts amb queloides importants.<\/p>\n

Quan els tractaments conservadors no resulten efectius, cal rec\u00f3rrer a la cirurgia mitjan\u00e7ant la fasciatectomia local o parcial \u00e0mplia i completa. Existeix la possibilitat de recidiva nodular postquir\u00fargica.<\/p>\n

Altres tractaments alternatius s\u00f3n els tractaments mitjan\u00e7ant la colagenasa injectable i la crioter\u00e0pia.\"La<\/p>\n

\"La

OLYMPUS DIGITAL CAMERA<\/p><\/div>\n

\"La \"La \"La \"La \"La<\/p>\n

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OLYMPUS DIGITAL CAMERA<\/p><\/div>\n","protected":false},"excerpt":{"rendered":"

La malaltia de Ledderhose \u00e9s un tipus de fibromatosi plantar caracteritzat per l\u2019engruiximent i aparici\u00f3 de n\u00f2duls benignes d’aparen\u00e7a dura i rodona o aplanada localitzats a la part central o medial de la f\u00e0scia plantar o aponeurosi dels peus. Es presenta majorment en pacients de mitjana edat o edats avan\u00e7ades i \u00e9s 10 vegades superior […]<\/p>\n","protected":false},"author":3,"featured_media":10794,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[276,346,306],"tags":[],"class_list":["post-10774","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-alteracions-dermatologiques","category-icp-ca","category-patologia-ca"],"yoast_head":"\nLa malaltia de Ledderhose o fibromatosi plantar - Institut Catal\u00e0 del Peu<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"La malaltia de Ledderhose o fibromatosi plantar - Institut Catal\u00e0 del Peu\" \/>\n<meta property=\"og:description\" content=\"La malaltia de Ledderhose \u00e9s un tipus de fibromatosi plantar caracteritzat per l\u2019engruiximent i aparici\u00f3 de n\u00f2duls benignes d’aparen\u00e7a dura i rodona o aplanada localitzats a la part central o medial de la f\u00e0scia plantar o aponeurosi dels peus. 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