Current RMA Instruments
| Reasonable Hypothesis SOP | 21 of 2023 |
| Balance of Probabilities SOP | 22 of 2023 |
SOP bulletin on new Instruments
SOP Bulletin 236 ICD Coding
ICD-10-AM Code: M72.3
Brief description
Plantar fibromatosis is a rare hyperproliferative disease affecting the plantar fascia. It is similar to dupuytren disease in the hand. Fibrous nodule and cord formation in the fascia leads to puckering and thickening of the skin on the underside of the foot. Contractures may form. It is a separate disease from plantar fasciitis.
Confirming the diagnosis
Diagnosis is usually made on the clinical presentation. Radiological imaging (ultrasound, X-ray, MRI) can be useful to rule out other causes of symptoms.
The relevant medical specialist is an orthopaedic surgeon or rheumatologist.
Additional diagnoses that are covered by these SOPs
- Nil
Conditions not covered by these SOPs
- Calcaneal spur# - not a disease or injury
- Plantar fasciitis*
- Metatarsalgia - Non-SOP or Morton’s metatarsalgia SOP
- Muller-Weiss disease#
* another SOP applies - the SOP has the same name unless otherwise specified
# non-SOP condition
Clinical onset
The condition most commonly affects males over 60. Once the diagnosis has been confirmed, the clinical onset can be back-dated to the time of onset of first symptoms.
Clinical worsening
The usual course of plantar fibromatosis is for it to progress over time. Treatment options are mostly symptomatic (orthotics, antiinflammatory drugs). Surgery is generally ineffective. Worsening beyond the normal course of the condition will be difficult to establish.