Plantar foot lesions

[Samuel Katumba]

Hello Steve,
Middle aged Indian female presented with plantar foot swellings.
They were in subcutaneous tissue but seemed to contact plantar fascia (mid foot). Did not look the text book plantar fibromatosis nodules. What could they be?

Attachments:

You must be logged in to view attached files.

[Samuel Katumba]

….More images

Attachments:

You must be logged in to view attached files.

[Stephen Bird]

Interesting !

These areas are in the fat pad.

The plantar fat pad has two components.
The area right beneath there skin is the micro-chamber fat pad and this is quite firm.
See to that is the macro-chamber fat pad which is softer and important for shock absorption.

The lesions you have are in the macro-chamber fat pad.

The most common lesion we see here is an area of fat necrosis from chronic compression that leads to adventitial bursitis.

We see it most commonly in the area of the metatarsal heads as this is the highest point of compression.

So this is a possibility.

Other than that, any other cause of inflammation or infection within the macro-chamber fat pad should be considered.

Your images are consistent with adventitial bursitis or any form of inflammation / infection within the macro-chamber fat pad.

Steve.

[Samuel Katumba]

oh how you make this simple for me, I want more of this!
So grateful.

Many thanks Steve.

[Stephen Bird]

I am always here Samuel,

Keen to help out,

Please keep posting the cases,

Steve.

[Author]

Posts