Abstract:Continued observation in asymptomatic cases is a reasonable clinical approach. We propose surgical treatment with curettage and bone grafting only in symptomatic cases.
“…Malign neoplasm also should be included in the differential diagnosis [15,[19][20][21]. In the calcaneus region, the most frequent differential diagnoses are the pseudocyst, which is formed by the major weight bearing bone trabeculae at the junction of the neck and body of the calcaneus (Ward's triangle) [3] and the bone infarct [4,20]. Several other differential diagnosis are emphasized in the literature: fibrous dysplasia [20], osteoblastoma [20], enchondroma [12,20], chondroblastoma [12], chondrosarcoma [12], solitary bone cysts [23], Brodie abscess [17], nonossifying fibroma [6], and giant cell tumor [6].…”
Section: Discussionmentioning
confidence: 99%
“…The etiology of intraosseous lipomas is discussed controversially [3]. Hypotheses range from a primary benign neoplasm [5,19,20,24] to a reactive bone lesion following trauma or bone infarct [12].…”
We reviewed 29 patients with intraosseous lipoma treated between 1985 and 2002. Mean patient age was 48 (20-75) years. According to Milgram's classification, ten cases were classified as stage I, 14 as stage II, and three as stage III. All patients were initially treated by curettage. In 11 cases an additional phenolization was performed. The average follow-up was 32 (6-208) months. At the last follow-up, none had any clinical or radiological signs of recurrence. The adequate treatment of a symptomatic intraosseous lipoma is curettage and bone grafting. In the current study, phenolization showed no added benefit. An asymptomatic intraosseous lipoma without impending pathological fracture can be treated conservatively.
Résumé
“…Malign neoplasm also should be included in the differential diagnosis [15,[19][20][21]. In the calcaneus region, the most frequent differential diagnoses are the pseudocyst, which is formed by the major weight bearing bone trabeculae at the junction of the neck and body of the calcaneus (Ward's triangle) [3] and the bone infarct [4,20]. Several other differential diagnosis are emphasized in the literature: fibrous dysplasia [20], osteoblastoma [20], enchondroma [12,20], chondroblastoma [12], chondrosarcoma [12], solitary bone cysts [23], Brodie abscess [17], nonossifying fibroma [6], and giant cell tumor [6].…”
Section: Discussionmentioning
confidence: 99%
“…The etiology of intraosseous lipomas is discussed controversially [3]. Hypotheses range from a primary benign neoplasm [5,19,20,24] to a reactive bone lesion following trauma or bone infarct [12].…”
We reviewed 29 patients with intraosseous lipoma treated between 1985 and 2002. Mean patient age was 48 (20-75) years. According to Milgram's classification, ten cases were classified as stage I, 14 as stage II, and three as stage III. All patients were initially treated by curettage. In 11 cases an additional phenolization was performed. The average follow-up was 32 (6-208) months. At the last follow-up, none had any clinical or radiological signs of recurrence. The adequate treatment of a symptomatic intraosseous lipoma is curettage and bone grafting. In the current study, phenolization showed no added benefit. An asymptomatic intraosseous lipoma without impending pathological fracture can be treated conservatively.
Résumé
“…The most appropriate treatment for intraosseous calcaneal lipoma is likely to depend on symptoms, location and size (12)(13)(14). Intraosseous calcaneal lipoma 'of critical size' has been defined as a lesion extending the full breadth of the calcaneus in the coronal plan, and occupying ≥30% of the anteroposterior length of the calcaneus (15).…”
Abstract. Intraosseous lipoma is a rare benign bone tumor that has been reported to occur in the calcaneus and long bones. The etiology of intraosseous lipoma is unknown, although several theories have been proposed. The majority of the cases of intraosseous calcaneal lipoma reported in the literature were localized in the anterior portion of the calcaneus and were treated by curettage and bone grafting. However, for larger lipomas, no specific treatment protocol has been developed to date. We herein present a rare case involving a large intraosseous lipoma of the calcaneus in a 36-year-old man following hindfoot trauma. The lesion was treated by decortication followed by bone grafting and internal fixation, a surgical approach that, to the best of our knowledge, has not been previously described in the literature.
“…Suelen aparecer entre los 30 y los 60 años, aunque no existe un claro consenso acerca de la edad más frecuente de aparición 1,4,10,11 .…”
Section: Discussionunclassified
“…La etiología de la lesión no está claramente definida pero suele derivar tras una reacción postraumática, tras un infarto óseo o ser directamente un auténti-co tumor benigno [2][3][4][5][6] .…”
RESUMEN:El lipoma intraóseo es una lesión adiposa benigna del tejido musculoesquelético. Suele ser una lesión asintomática y de etiología poco clara. Las técnicas de imagen (resonancia magnética y tomografía computarizada) son bá-sicas para su diagnóstico y su clasificación. En este artículo se describen el caso clínico y el seguimiento de un jugador profesional de baloncesto en el que en la revisión médica previa a su fichaje se observó en la radiología simple un lipoma intracalcáneo de años de evolución.PALABRAS CLAVE: Lipoma intraóseo. Calcáneo. Lesión.
ABSTRACT:Intraosseus lipoma is a benign musculo-skeletal injury. This lesion is usually asymptomatic, with unclear etiology. Imaging techniques such as magnetic resonance imaging and computed tomography are essential for the diagnosis and classification of these injuries. The present article describes the case of a professional basketball player with an intracalcaneus lipoma, which was detected radiologically during medical examination before the player was signed up. The follow-up of this player is also described.
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