Document Detail

Intraosseous lipoma of the calcaneus mimicking plantar fascitis.
MedLine Citation:
PMID:  21549967     Owner:  NLM     Status:  In-Data-Review    
Benign lytic lesions of the calcaneus are rare and are usually asymptomatic. We report this case of a 55-year-old man with bilateral non-traumatic plantar heel pain, which was treated conservatively as plantar fasciitis. At three months follow-up, the patient had complete relief of symptoms in the left heel with partial relief of symptoms on the right side. However under the insistence of the patient an X-ray was taken, which revealed an expansile lytic lesion of the right calcaneus and a normal left heel. CT-scan revealed an expansile lytic lesion on the right calcaneus and an early lytic lesion in the left calcaneus. Following surgical intervention, the diagnosis was confirmed as intra-osseous lipoma and the patient was completely symptom free at two-year follow-up. Patients presenting with non-traumatic heel pain should be explained about the possible causes of heel pain, and should be offered X-ray at the first visit. In patients with X-ray showing unilateral lipoma of the calcaneus, CT scan should be offered to rule out involvement of the opposite side.
K Karthik; S Aarthi
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Publication Detail:
Type:  Journal Article     Date:  2010-12-09
Journal Detail:
Title:  Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons     Volume:  17     ISSN:  1460-9584     ISO Abbreviation:  Foot Ankle Surg     Publication Date:  2011 Jun 
Date Detail:
Created Date:  2011-05-09     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9609647     Medline TA:  Foot Ankle Surg     Country:  France    
Other Details:
Languages:  eng     Pagination:  e25-7     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.
Department of Orthopaedic Surgery, James Cook University Hospital, Marton Road, Middlesbrough TS43BW, United Kingdom.
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