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

Document Type: CASE REPORT

Authors

1 Department of Orthopedics, Alborz University of Medical Sciences, Karaj, Iran

2 Sport Medicine Research Center, Neuroscience Institute, Tehran University of Medical Sciences , Tehran , Iran

3 Department of Orthopedics , Shahid Beheshti University of Medical Sciences, Tehran, Iran

Abstract

Intraosseous lipoma is a rare, benign primary tumor occurring in the bone. Herein, we reported a 45-year-old man
with chronic right posterior heel pain. In this study, the man was treated conservatively due to plantar fasciitis. During
a one-month follow-up visit, the patient had no symptoms of relief in the right heel pain. Initially, calcaneal X-ray
was 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 was
confirmed as calcaneal lipoma in magnetic resonance imaging. The patient underwent curettage and autogenous
iliac crest corticocancellous bone graft under general anesthesia. In a 3-month postoperative follow-up, the patient
returned to full ambulation. Postoperative radiographs demonstrated continued remodeling and healing of the graft
site. The purpose of this article was to increase awareness among clinicians about the existence of this rare cause
of calcaneal pain.
Level of evidence: V

Keywords

Main Subjects


1. Kapukaya A, Subasi M, Dabak N, Ozkul E. Osseous
lipoma: eleven new cases and review of the literature.
Acta Orthop Belg. 2006; 72(5):603-14.
2. Child PL. Lipoma of the os calcis; report of a case. Am
J Clin Pathol. 1955; 25(9):1050-2.
3. Revenga Martinez M, Bachiller Corral FJ, Rubio Garcia
J, Munoz Beltran M, Zea Mendoza AC. Cystic lesion of
the calcaneus. Intraosseous lipoma. Reumatol Clin.
2007; 3(3):139-42.
4. Leeson MC, Kay D, Smith BS. Intraosseous lipoma. Clin
Orthop Relat Res. 1983; 181(1):186-90.
5. Milgram JW. Intraosseous lipomas. A clinicopathologic
study of 66 cases. Clin Orthop Relat Res. 1988;
231(1):277-302.
6. Milgram JW. Intraosseous lipomas: radiologic
and pathologic manifestations. Radiology. 1988;
167(1):155-60.
7. Narang S, Gangopadhyay M. Calcaneal intraosseous
lipoma : a case report and review of the literature. J
Foot Ankle Surg. 2011; 50(2):216-20.
8. Blacksin MF, Ende N, Benevenia J. Magnetic
resonance imaging of intraosseous lipomas: a
radiologic-pathologic correlation. Skelet Radiol.1995; 24(1):37-41.

9. Futani H, Fukunaga S, Nishio S, Yagi M, Yoshiya
S. Successful treatment of bilateral calcaneal
intraosseous lipomas using endoscopically assisted
tumor resection. Anticancer Res. 2007; 27(6C):
4311-4.
10. Bagatur AE, Yalcinkaya M, Dogan A, Gur S, Mumcuoglu
E, Albayrak M. Surgery is not always necessary in
intraosseous lipoma. Orthopedics. 2010; 33(5):306.
11. Creţu BŞ, Dragosloveanu C, Cotor D, Dragosloveanu Ş,
Stoica CI. Prediction of fracture risk and prophylactic
intervention in metastatic bone disease: a systematic
review. Rom J Orthop Surg Traumatol. 2018; 1(1):44-9.
12. Aumar DK, Dadjo YB, Chagar B. Intraosseous lipoma
of the calcaneus : report of a case and review of the
literature. J Foot Ankle Surg. 2013; 52(3):360-3.
13. Karthik K, Aarthi S. Intraosseous lipoma of the
calcaneus mimicking plantar fascitis. Foot Ankle Surg.
2011; 17(2):e25-7.
14. Hassani M, Gharehdaghi M, Khooei AR, Ghodsi E,
Nazarzadeh H. Bilateral intraosseous tumor of the
calcaneus with imaging-pathologic discordance a
case report and literatures review. Arch Bone Jt Surg.2014; 2(3):238-42.

15. Cao Y. Internal fixation combined with bone grafting
for large intraosseous calcaneal lipoma : a case report.
Mol Clin Oncol. 2017; 7(5):877-9.