LUMPS AND BUMPS Flashcards
non-osseous tumor or tumor like lesion in the epidermis
soft tissue mass
a neoplasm of tissue that forms into a mass
tumor
common masses of the foot and ankle?
ganglionic cyst
lipomas
plantar fibromas
neuromas
the surgeons approach for soft tissue masses?
H/P
plain film radiography
advanced imaging
biopsy
definitive tx
what is this?
most common zones 1 and 3
present along peroneal tendon sheath
zone 5=digital mucoid cyst
*weakness in tendon sheath, filled w/ synovial fluid, fluid is gelatinous or rigid
ganglionic cyst
ganglionic cyst imaging?
*biopsy tech?
**surgical tx?
plain film radiography
and
MRI
*needle aspiration
**excision of cyst, due to lack of diagnosis, pain, recurrence, space occupying
what is this?
most common zone 4, occasionallyin zone 2 or zone
non specific fibromas can occur on dorsal foot (not a true plantar fibroma)
*thickening of plantar fascia, multiple=ledderhose disease, most common in central and medial bands
spontaneous occurrence +/- pain
plantar fibroma
plantar fibroma,
objective findings?
imaging?
firm subcutaneous nodule, no adherence, unlikely to be mobile, less ballon quality
plain film radiography
MRI
fibrosarcoma conservative tx?
benign neglect
orthotics
topical compounded meds
corticosteroid injection
fibrosarcoma conservative tx?
partial vs total fasciectomy
- lazy S incision
- C incision
- large Z incision