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

Document Type: CASE REPORT


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


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


Main Subjects