salduz, ahmet istanbul üniversitesi - tıp fakültesi - ortopedi ve travmatoloji anabilim dalı, türkiye , demirel, mehmet istanbul üniversitesi - tıp fakültesi - ortopedi ve travmatoloji anabilim dalı, Türkiye , altan, murat istanbul üniversitesi - tıp fakültesi - ortopedi ve travmatoloji anabilim dalı, Türkiye , bayram, serkan istanbul üniversitesi - tıp fakültesi - ortopedi ve travmatoloji anabilim dalı, Türkiye

RARE CAUSE OF THE HEEL PAIN: INTRAOSSEOUS LIPOMA OF THE CALCANEUS: A REVIEW OF LITERATURE AND RETROSPECTIVE ANALYSIS OF 9 CASES

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Objective: Intracalcaneal lipoma is a rare disease and frequently asymptomatic. Usually the first and the most common complaint is simple heel pain in symptomatic cases. The purpose of this study is to present a literature review and retrospective analysis of 9 cases with intracalcaneal lipoma whose various preliminary diagnosis varied in other clinics due to heel pain. Material and Methods: Between 2008 and 2015, 9 patients (4 females and 5 males) with intracalcaneal lipoma were operated in our institution. The mean age of the patients was 40.6 (19- 70) years. The mean follow-up was 50,4 (12-114) months. The time between initial misdiagnosis and confirmed diagnosis was 20.8 (12-48) months. The patients were treated as misdiagnosed with Achilles tendinitis, epin calcanei, retrocalcaneal bursitis and plantar fasciitis before admission to our clinic. Results: Seven patients were treated with curratage bone grafting and 2 patients with curettage bone cementing. All patients recovered without heel pain in the mean 5 (3-11) months. Complete consolidation of the bone graft was seen at the mean 6 (5-9) month. The mean AOFAS score was increased from 80.4 preoperatively to 95.3 at the first year. Conclusion: Intracalcaneal lipoma should be considered in the differential diagnosis of the patients with heel pain. Curettage and bone grafting can be a good surgical option for the treatment of painful and critically sized intracalcaneal lipomas.

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Heel pain , intraosseous lipoma , calcaneus

Journal Of Istanbul Faculty Of Medicine

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