Médecine et chirurgie du pied


Pure retractile plantar calcinosis during tumoral calcinosis simulating Ledderhose disease Volume 29, issue 3, Septembre 2013


Tumoral calcinosis is a rare affection characterized by calcic deposits in peri-articular soft tissues. The plantar localization of this disease is unusual. Except for calcifications from the X-rays, the diagnosis is extremely difficult. We report the observation of a 23-year-old man with tumoral calcinosis, whose follow-up was carried out in our center for several years, with multiple localizations of voluminous calcic masses surgically removed with a good postoperative progression. The patient presented a plantar retraction of the left hallux which has been progressing for seven years rendering walking and foot wearing more and more painful. Lacking any calcification in standard X-rays, Ledderhose disease was diagnosed even though this particular association (calcinosis + Ledderhose disease) has never been described in the medical literature before. A fasciectomy, along with an arthrolysis of the first metatarsophalangeal joint and a provisional arthrodesis, were carried out. The anatomopathological examination revealed microscopic calcic deposits within macrophagic granulomas and thus, plantar calcinosis was diagnosed.