title: A large solitary fibroma of the deep compartment of the sole.
abstract: A 50-year-old lady presented with a right foot mass and pain for 1year. Magnetic resonance imaging showed a 3.9×3.2×5cm mass on plantar side of the forefoot deep to the major flexor tendons and plantar aponeurosis and inferior to 1st-4th metatarsals. The mass extended dorsally through the intermetatarsal space to the foot dorsum. Ultrasound guided biopsy was performed, which confirmed it was a fibroma. This case was further complicated by pathological fracture of the 3rd metatarsal. It was resected through a dorsal incision and surgical dislocation of the 2nd and 3rd tarsometatarsal joints. Magnetic resonance imaging was repeated 1year later and showed complete resection of the lesion without recurrence.
authors.affiliation: Department of Orthopaedics and Traumatology, North District Hospital, 9 Po Kin Road, Sheung Shui, NT, Hong Kong Special Administrative Region, China. Electronic address: luithderek@yahoo.co.uk.
authors.forename: T H
authors.initials: TH
authors.lastname: Lui
mesh_terms: D001174:Arthrodesis / Q000379:methods; D005260:Female; D005350:Fibroma / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery*; D005500:Follow-Up Studies; D005528:Foot / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D061705:Image-Guided Biopsy / Q000379:methods*; D007150:Immunohistochemistry; D008279:Magnetic Resonance Imaging / Q000379:methods*; D008683:Metatarsophalangeal Joint / Q000000981:diagnostic imaging / Q000503:physiopathology; D008875:Middle Aged; D018570:Risk Assessment; D012720:Severity of Illness Index; D012983:Soft Tissue Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome; D014463:Ultrasonography / Q000379:methods
keywords: Arthrodesis; Deep compartment; Fibroma; Fusion; Tarsometatarsal