Heel Lipoma Mimicking Plantar Fasciitis in a Ballroom Dancer

Taweel, Nicholas; Raikin, Steven M.

doi:10.1053/j.jfas.2014.12.011

Cited by 5 publications

(8 citation statements)

References 10 publications

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“… 9 Taweel and Raikin describe resection of a similar “heel lipoma” at the same location. 10 Given the striking similarity reported in the medical literature to what we have observed as a common incidental finding, we sought to understand whether a fatty pseudolesion may occur at this specific location.…”

Section: Introductionmentioning

confidence: 78%

“…Fatty masses at the medial midfoot are reported in the literature, some of which have been resected with reported improvement in patient symptoms. 9 10 Given the prevalence of a fatty pseudolesion at this location, one wonders if some resected “lipomas” truly represented masses or variant fat. It is interesting to note the clinical recovery of a patient for whom surgical removal of a purported lipoma at the medial midfoot was performed.…”

Section: Discussionmentioning

confidence: 99%

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Mass-Like Fat at the Medial Midfoot: A Common Pseudolesion

Strickland

Patten

Durst

et al. 2021

Indian J Radiol Imaging

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Background Fatty masses are common and may be encountered in the foot and ankle. In some cases, normal subcutaneous fat may be mistaken for a discrete mass. Aims The aim of this study was to evaluate the common finding of prominent subcutaneous fat at the medial midfoot resembling a lipoma and to determine the prevalence of this pseudolesion by applying a series of potential size cutoff criteria. Materials and Methods Three musculoskeletal radiologists retrospectively evaluated 91 sequentially performed magnetic resonance imaging examinations of the ankle to measure fat resembling a discrete lipoma at the medial midfoot. Each blinded reader measured the largest area of continuous subcutaneous fat in orthogonal axial, coronal craniocaudal, and coronal transverse dimensions. Patient age, sex, and study indications were also recorded. Statistical analysis was performed with R and SAS 9.4 software Results A discrete fatty pseudolesion as defined by measuring at least 1 cm in all planes by measurements of at least two of three readers was present in 87% of cases (79 of 91). When a size criterion of 1.5 cm was used, a pseudolesion was documented in 14% of cases (13 of 91). There was a significant correlation between larger pseudolesion size and female sex in the axial plane; however, there was no correlation in the coronal craniocaudal and coronal transverse dimensions. Conclusions Subcutaneous fat at the medial midfoot often has a mass-like appearance that could be mistaken for a lipoma. It is important to recognize this pseudolesion variant and not to confuse the imaging appearance for a discrete mass.

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Section: Introductionmentioning

confidence: 78%

Section: Discussionmentioning

confidence: 99%

Mass-Like Fat at the Medial Midfoot: A Common Pseudolesion

Strickland

Patten

Durst

et al. 2021

Indian J Radiol Imaging

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“…31 Taweel and Raikin reported a case of heel lipoma diagnosed with MRI scan in a ballroom dancer with 8-month history of heel pain that was diagnosed as plantar fasciitis and unresponsive to the nonoperative treatment. 32 There are studies suggesting that considerable numbers of patients with plantar heel pain have a normal MRI scan. A study comparing patients with clinically diagnosed plantar fasciitis and healthy volunteers in a dedicated MR scanner showed that 25% of the patients with clinical suspicion of plantar fasciitis had normal MRI scans.…”

Section: Discussionmentioning

confidence: 99%

“…Taweel and Raikin reported a case of heel lipoma diagnosed with MRI scan in a ballroom dancer with 8-month history of heel pain that was diagnosed as plantar fasciitis and unresponsive to the nonoperative treatment. 32…”

Section: Discussionmentioning

confidence: 99%

Is There a Role for MRI in Plantar Heel Pain

Fazal

Tsekes

Baloch

2017

Foot & Ankle Specialist

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“…They were mostly done to rule out related or masked conditions before surgery, as suggested by other authors. 1,24,25,27,32 Patients were then randomized to be operated on with either OPF or PMGR. A computer-based randomization process was employed using a specific computer program.…”

Section: Methodsmentioning

confidence: 99%

Proximal Medial Gastrocnemius Release Versus Open Plantar Fasciotomy for the Surgical Treatment in Recalcitrant Plantar Fasciitis

et al. 2019

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Background: Plantar fasciitis is a common cause of foot pain. If conservative treatment fails, there is no consensus as to the best surgical management for recalcitrant plantar fasciitis (RPF). The aim of this study was to compare the results obtained from proximal medial gastrocnemius release (PMGR) with those obtained from open plantar fasciotomy (OPF) in terms of pain, satisfaction, health-related quality of life, and American Orthopaedic Foot & Ankle Society (AOFAS) score. Methods: This is a prospective randomized trial conducted between 2012 and 2016. Patients with RPF for at least 9 months were included. Diagnosis was clinically made. The exclusion criteria were neuropathic heel pain; a history of previous foot fracture, surgery, or deformity; rheumatoid arthritis; or the need for long-term analgesic administration. After ruling out other conditions with magnetic resonance or ultrasound imaging, patients were randomized to be operated on with OPF or PMGR independently of the Silfverskjold test. Follow-up was carried out for up to 1 year. The AOFAS, visual analog scale (VAS) for pain, SF-36, and Likert scale for satisfaction were used to evaluate the results obtained. The analysis was done with 21 patients in the OPF group and 15 in the PMGR group. The demographic data (age, sex, body mass index, duration of symptoms, and positivity to the Silfverskjold test) of the groups were comparable. Results: No differences were found in terms of the AOFAS ( P = .24), VAS ( P = .14), or any item of the SF-36. Satisfaction was very good in 85.8% of the PMGR group and 89.5% of the OPF group ( P = .27). Faster recovery was observed in the PMGR group. Conclusion: OPF and PMGR provided good results for patients with RPF. Neither was superior to the other relative to pain, AOFAS score, satisfaction, or the SF-36. We recommend PMGR as the first option in RPF surgical management in order to avoid potential biomechanical complications related to OPF. Level of Evidence: Level I, therapeutic randomized controlled trial.

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Heel Lipoma Mimicking Plantar Fasciitis in a Ballroom Dancer

Cited by 5 publications

References 10 publications

Mass-Like Fat at the Medial Midfoot: A Common Pseudolesion

Mass-Like Fat at the Medial Midfoot: A Common Pseudolesion

Is There a Role for MRI in Plantar Heel Pain

Proximal Medial Gastrocnemius Release Versus Open Plantar Fasciotomy for the Surgical Treatment in Recalcitrant Plantar Fasciitis

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