Intraosseous Calcaneal Lipoma with Subtalar Performation through Cystic Degeneration: A Case Report
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Intraosseous lipoma is a benign tumor that originates from proliferating mature lipocytes. It often occurs in the metaphysis of long bones of the lower extremity, and also in the calcaneus, humerus, mandible, sacrum, and rib bones. Frequently, it involutes spontaneously through a process of infarction, calcification, and cyst formation. It can either present as pain, or be asymptomatic and only discovered through an incidental radiological finding. In our case, the patient presented with heel pain. Intraoperatively, it was found that the intraosseous cavity was filled with fat along with an adjacent but separate area of cystic degeneration. There was also a cortical perforation at the cystic lesion which was communicating with the subtalar joint. This cortical breach is most likely the cause of diffuse lateral heel pain experienced by our patient, and such a pathological fracture due to intraosseous lipoma has never been reported
Abstract
Intraosseous lipoma is a benign tumor that originates from proliferating mature lipocytes. It often occurs in the metaphysis of long bones of the lower extremity, and also in the calcaneus, humerus, mandible, sacrum, and rib bones. Frequently, it involutes spontaneously through a process of infarction, calcification, and cyst formation. It can either present as pain, or be asymptomatic and only discovered through an incidental radiological finding. In our case, the patient presented with heel pain. Intraoperatively, it was found that the intraosseous cavity was filled with fat along with an adjacent but separate area of cystic degeneration. There was also a cortical perforation at the cystic lesion which was communicating with the subtalar joint. This cortical breach is most likely the cause of diffuse lateral heel pain experienced by our patient, and such a pathological fracture due to intraosseous lipoma has never been reported
참고문헌 (10)
- Bertram C, "Intraosseous lipoma of the calcaneus", Langenbecks Arch Surg, 386, pp.313~317 (2001)
- Campbell RS, "Intraosseous lipoma : report of 35 new cases and a review of the literature", Skeletal Radiol, 32, pp.209~222 (2003)
- Chow LT, "Intraosseous lipoma. A clinicopathologic study of nine cases", Am J Surg Pathol, 16, pp.401~410 (1992)
- Revenga Martínez M, "Cystic lesion of the calcaneus", Intraosseous lipoma. Reumatol Clin, 3, pp.139~142 (2007)
- Milgram JW, "Intraosseous lipomas. A clinicopathologic study of 66 cases", Clin Orthop Relat Res, 231, pp.277~302 (1988)
- Abrahim-Zadeh R, "Characteristics of calcaneal bone infarction : an MR imaging investigation", Skeletal Radiol, 27, pp.321~324 (1998)
- Van Linthoudt D, "Calcaneal cysts. A radiological and anatomico-pathological study", Acta Orthop Scand, 49, pp.310~316 (1978)
- Blacksin MF, "Magnetic resonance imaging of intraosseous lipomas : a radiologic-pathologic correlation", Skeletal Radiol, 24, pp.37~41 (1995)
- Milgram JW, "Malignant transformation in bone lipomas", Skeletal Radiol, 19, pp.347~352 (1990)
- Pappas AJ, "An intraosseous lipoma of the calcaneus : a case report", J Foot Ankle Surg, 53, pp.638~642 (2014)