LUMPS AND BUMPS

Question 1

non-osseous tumor or tumor like lesion in the epidermis

Answer 1

soft tissue mass

Question 2

a neoplasm of tissue that forms into a mass

Answer 2

tumor

Question 3

common masses of the foot and ankle?

Answer 3

ganglionic cyst
lipomas
plantar fibromas
neuromas

Question 4

the surgeons approach for soft tissue masses?

Answer 4

H/P

plain film radiography

advanced imaging

biopsy

definitive tx

Question 5

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

Answer 5

ganglionic cyst

Question 6

ganglionic cyst imaging?

*biopsy tech?

**surgical tx?

Answer 6

plain film radiography

and

MRI

*needle aspiration

**excision of cyst, due to lack of diagnosis, pain, recurrence, space occupying

Question 7

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

Answer 7

plantar fibroma

Question 8

plantar fibroma,

objective findings?
imaging?

Answer 8

firm subcutaneous nodule, no adherence, unlikely to be mobile, less ballon quality

plain film radiography
MRI

Question 9

fibrosarcoma conservative tx?

Answer 9

benign neglect
orthotics
topical compounded meds
corticosteroid injection

Question 10

fibrosarcoma conservative tx?

Answer 10

partial vs total fasciectomy

• lazy S incision
• C incision
• large Z incision