Calcaneal Intraosseous Lipoma treated with External Fixation: A case report and review of the literature

A case report is presented of an intraosseous lipoma. Diagnosis was made with the help of Magnetic Resonance Imaging and histopathologic analysis, after which the patient was treated by means of curettage and packing with bone graft substitute. Surgical, histologic features and a staging classification for intraosseous lipoma are presented in this case report. This article also discusses the use of external fixation in a patient with high risk of calcaneal fracture and to promote early weight bearing and early recovery. Although calcaneal intraosseous lipoma accounts for a small portion of cases in the huge differential diagnosis chart for foot pain such as plantar fasciitis, retrocalcaneal bursitis, gout and stress fracture, it should be kept in mind as a possible diagnosis in cases of unresolved pain to the heel.