Symptomatic intraosseous lipoma in the calcaneus.

Abstract:

BACKGROUND:Intraosseous lipoma remains a poorly-characterized tumor. In paticular, the natural course of intracalcaneus lipoma after conservative treatment and the appropriate surgical modalities are still quite controversial. PATIENTS AND METHODS:We reviewed six symptomatic patients who underwent curettage of intracalcaneus lipoma followed by grafting of α- or β-tricalcium phosphate. An endoscopically-assisted technique was used in one case. RESULTS:All patients experienced heel pain that increased acutely after minor trauma. Heel pain disappeared soon after surgery in five cases. One patient experienced short-term mild chronic regional pain syndrome for short term. β-tricalcium phosphate was completely resorbed and remodeled after transplantation. CONCLUSION:Surgical treatment is indicated for cases that are: i) symptomatic, ii) larger than the critical size, and iii) prone to pathological fracture. Curettage of intracalcaneus lipoma involving an endoscopically-assisted technique and filling of the defect with β-tricalcium phosphate is a feasible method and is minimally-invasive for the patient.

journal_name

Anticancer Res

journal_title

Anticancer research

authors

Muramatsu K,Tominaga Y,Hashimoto T,Taguchi T

subject

Has Abstract

pub_date

2014-02-01 00:00:00

pages

963-6

issue

2

eissn

0250-7005

issn

1791-7530

pii

34/2/963

journal_volume

34

pub_type

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