Intraosseous Lipoma of Calcaneus, Rare Cause of Chronic Calcaneal Pain: A Case Report

Authors

  • Adel Ebrahimpour Department of Orthopedics , Shahid Beheshti University of Medical Sciences, Tehran, Iran
  • Azadeh Hakakzadeh Sport Medicine Research Center, Neuroscience Institute, Tehran University of Medical Sciences , Tehran , Iran
  • Bahar Hassanmirzaei Sport Medicine Research Center, Neuroscience Institute, Tehran University of Medical Sciences , Tehran , Iran
  • Farsad Biglari Department of Orthopedics, Alborz University of Medical Sciences, Karaj, Iran
  • Salman Azarsina Department of Orthopedics, Alborz University of Medical Sciences, Karaj, Iran
Abstract:

Intraosseous lipoma is a rare, benign primary tumor occurring in the bone. Herein, we reported a 45-year-old manwith chronic right posterior heel pain. In this study, the man was treated conservatively due to plantar fasciitis. Duringa one-month follow-up visit, the patient had no symptoms of relief in the right heel pain. Initially, calcaneal X-raywas taken, which revealed an expansile unicameral lytic lesion with central calcification on the right calcaneus.Moreover, computed tomography scan revealed an expansile lytic lesion on the right calcaneus. The diagnosis wasconfirmed as calcaneal lipoma in magnetic resonance imaging. The patient underwent curettage and autogenousiliac crest corticocancellous bone graft under general anesthesia. In a 3-month postoperative follow-up, the patientreturned to full ambulation. Postoperative radiographs demonstrated continued remodeling and healing of the graftsite. The purpose of this article was to increase awareness among clinicians about the existence of this rare causeof calcaneal pain.Level of evidence: V

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Journal title

volume 7  issue 5

pages  469- 473

publication date 2019-09-01

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