An Intraosseous Lipoma of the Calcaneus: A Case Report

Pappas, Alexander J.; Haffner, Kyle E.; Mendicino, Samuel S.

doi:10.1053/j.jfas.2014.03.007

Cited by 14 publications

(15 citation statements)

References 7 publications

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“…Intra‐osseous lipoma is a benign, rare tumor that accounts for less than 1% of all primary bone tumors . It is most commonly located in the metaphysis of long bones and the calcaneus.…”

Section: Benign Lesionsmentioning

confidence: 99%

“…In the calcaneus, the most commonly reported location is Ward's triangle, which is the triangle just inferior to the angle of Gissane. However, intra‐osseous lipomas of other parts of the calcaneus have also been reported . Milgram classified intra‐osseous lipoma into three stages .…”

Section: Benign Lesionsmentioning

confidence: 99%

“…Narang et al reported on the dimensions of the “critical size cysts,” and suggested that intraosseous lipomas that extends the full breadth of the calcaneus laterally to medially in the coronal plane and occupies at least 30% of the length anteroposteriorly are at higher risk of pathologic fractures. Curettage and grafting with bone graft or graft substitutes is the treatment of choice, with good success and very low recurrence …”

Section: Benign Lesionsmentioning

confidence: 99%

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Cystic bone tumors of the foot and ankle

Reda

2018

Journal of Surgical Oncology

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Bone tumors are relatively rare in the foot and ankle region. Many of them present as cystic lesions on plain films. Due to the relative rarity of these lesions and the complex anatomy of the foot and ankle region, identification of such lesions is often delayed or they get misdiagnosed and mismanaged. This review discusses the most common cystic tumors of the foot and ankle including their radiographic features and principles of management.

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“…Intra‐osseous lipoma is a benign, rare tumor that accounts for less than 1% of all primary bone tumors . It is most commonly located in the metaphysis of long bones and the calcaneus.…”

Section: Benign Lesionsmentioning

confidence: 99%

Section: Benign Lesionsmentioning

confidence: 99%

Section: Benign Lesionsmentioning

confidence: 99%

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Cystic bone tumors of the foot and ankle

Reda

2018

Journal of Surgical Oncology

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“…İntraosseöz lipomların kesin tanısı biyopsi metaryalinin patolojik incelemesi ile konulsa da BT ve MR görüntülemeleri tanıda yardımcıdır. MR T1 ve T2 sekanslarında subkutan yağ dokusuna benzer şekilde yüksek sinyal yoğunluğunu gösterebilmektedir (12,20). Tüm intraosseöz lipomların yaklaşık %15 kadarı kalkaneusta lokalizedir ve en sık Ward triangle bölgesinde yer alır (6).…”

Section: Gereç Ve Yöntemunclassified

TOPUK AĞRISININ NADİR BİR NEDENİ, KALKANEUS YERLEŞİMLİ İNTRAOSSEÖZ LİPOM: 9 OLGUNUN RETROSPEKTİF ANALİZİ ve LİTERATÜR DERLEMESİ

Salduz¹,

Demіrel²,

Altan³

et al. 2017

İstanbul Tıp Fakültesi Dergisi

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İst Tıp Fak Derg 2017; 80: 1 KLİNİK ARAŞTIRMA/ CLINICAL RESEARCH J Ist Faculty Med 2017; 80: 1 http://dergipark.ulakbim.gov.tr/iuitfd http://www.journals.istanbul.edu.tr/iuitfd Date received/Dergiye geldiği tarih: 30.01.2017 -Date accepted/Dergiye kabul edildiği tarih: 25.03.2017 * İstanbul Üniversitesi, İstanbul Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, İstanbul, Türkiye ÖZETAmaç: İntrakalkaneal lipom nadir görülür ve sıklıkla asemptomatiktir. Semptomatik olan vakalarda ise çoğunlukla ilk ve en sık şikâyet basit topuk ağrısıdır. Bu çalışmanın amacı, topuk ağrısı sebebiyle başvurdukları kliniklerde çeşitli ön tanılar alarak cerrahi dışı yöntemler ile tedavi edilmeye çalışılan ve kliniğimizde cerrahi olarak başarıyla tedavi edilmiş 9 olgunun retrospektif analizini ve literatür derlemesini sunmaktır. Gereç ve Yöntem: Kliniğimizde 2008 ve 2015 yılları arasında intrakalkaneal lipom tanısı ile ameliyat edilen 9 hasta (4 kadın, 5 erkek) çalışmaya dahi edildi. Ortalama yaş 40,6 (19-70) yıl idi. Ortalama takip süresi 50,4 (12-114) ay idi. Başlangıçtaki yanlış tanı ile gerçek tanı arasındaki süre 20,8 (12-48) ay idi. Hastalar kliniğimize başvurmadan önce, Achilles tendiniti, epin kalkanei, retrokalkaneal bursit ve plantar fasiit tanıları almış ve tedavi edilmeye çalışılmıştır. Bulgular: Yedi hasta küretaj & kemik grefti ve 2 hasta küretaj & kemik sementi ile tedavi edildi. Tüm hastalar ortalama 5 (3-11) ayda tamamen ağrısız iyileşti. Kemik greftlerinin tam olarak konsolidasyonu ortalama 6 (5-9) ayda görüldü. Ortalama AOFAS skoru ameliyat öncesi 80,4 ten birinci yılda 95,3'e yükseldi. Sonuç: Topuk ağrısı olan hastalarda intrakalkaneal lipom ayırıcı tanıda düşünülmelidir. Küretaj ve kemik grefti ile grefonaj ağrılı ve kritik boyutta intrakalkaneal lipomlar için iyi bir cerrahi tedavi seçeneği olabilir. Anahtar kelimeler: Topuk ağrısı; kemik içi lipomlar; kalkaneus. ABSTRACTObjective: Intracalcaneal lipoma is a rare disease and frequently asymptomatic. Usually the first and the most common complaint is simple heel pain in symptomatic cases. The purpose of this study is to present a literature review and retrospective analysis of 9 cases with intracalcaneal lipoma whose various preliminary diagnosis varied in other clinics due to heel pain. Material and Methods: Between 2008 and 2015, 9 patients (4 females and 5 males) with intracalcaneal lipoma were operated in our institution. The mean age of the patients was 40.6 (19-70) years. The mean follow-up was 50,4 (12-114) months. The time between initial misdiagnosis and confirmed diagnosis was 20.8 (12-48) months. The patients were treated as misdiagnosed with Achilles tendinitis, epin calcanei, retrocalcaneal bursitis and plantar fasciitis before admission to our clinic. Results: Seven patients were treated with curratage & bone grafting and 2 patients with curettage & bone cementing. All patients recovered without heel pain in the mean 5 (3-11) months. Complete consolidation of the bone graft was seen at the mean 6 (5-9) month. The mean AOFAS score was increased fr...

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“…Considering that only a few cases of lipoma of bone have been published and often seem to be accidental findings, reliable data regarding age distribution are not available. 1 Besides the proximal, metaphyseal femur, the calcaneus is a common predilection site. 2 Intramedullary lipoma may be asymptomatic (30%) or produce aching pain or swelling (70%); rarely it presents as a pathologic fracture.…”

mentioning

confidence: 99%

Calcaneal Ossoscopy

Toepfer

Lenze²,

Harrasser³

2016

Arthroscopy Techniques

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Both unicameral bone cysts and intraosseous lipoma of the calcaneus are rare entities that are mostly diagnosed because of unspecific heel pain, pathologic fracture, or as incidental finding. Minimally invasive ossoscopy with endoscopic resection of the tumor followed by grafting can potentially minimize risks of open surgery and speed up convalescence. We present our modifications to previously described techniques of endoscopic curettage with a particular focus on intraosseous lipoma and allogenic grafting. The key point for grafting is the use of a funnel-shaped ear speculum facilitating the plombage with allogenic cancellous bone chips. Compared with its alternatives, grafting with allogenic cancellous bone might prove favorable in this localization for several reasons: osteointegration, handling, availability, and costs. The objective of this technical note is to present a simple, safe, and cost-effective surgical technique for endoscopic surgical treatment of benign osteolytic lesions of the calcaneus.

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An Intraosseous Lipoma of the Calcaneus: A Case Report

Cited by 14 publications

References 7 publications

Cystic bone tumors of the foot and ankle

Cystic bone tumors of the foot and ankle

TOPUK AĞRISININ NADİR BİR NEDENİ, KALKANEUS YERLEŞİMLİ İNTRAOSSEÖZ LİPOM: 9 OLGUNUN RETROSPEKTİF ANALİZİ ve LİTERATÜR DERLEMESİ

Calcaneal Ossoscopy

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