Yadav Dilip Kumar, Yadav Ajay Kumar, Paudel Sujan Raj, Yadav Dilendra
Department of Orthopaedics and Trauma Surgery, Scheer Memorial Adventist Hospital, Kavrepalanchok, Nepal.
Scheer Memorial Adventist Hospital, Banepa, Kavrepalanchok, Nepal.
JNMA J Nepal Med Assoc. 2024 Apr 30;62(273):332-335. doi: 10.31729/jnma.8581.
Intraosseous lipoma of calcaneum is a rare cause of heel pain. Calcaneum is a typical site of involvement of IOL. There are only a few published articles regarding calcaneal intraosseous lipoma and one has been reported from Nepal. We report a case of 35 years female who presented with left heel pain for 1 year. The pain was gradually increasing in intensity and was severe enough to refrain her from activities of daily living. She was surgically operated with curettage and filling the defect with bone cement. There is no residual pain at 2.5 years follow up. We briefly review the postulated pathogenesis, clinical manifestations, diagnosis and various modalities of treatment of intraosseous lipoma. An orthopedic surgeon should have high degree of suspicion regarding the uncommon cause of heel pain and its possible management. When conservative methods do not relieve symptoms, surgical excision and filling the defect with bone cement provides long term relief.
跟骨骨内脂肪瘤是足跟痛的罕见原因。跟骨是骨内脂肪瘤的典型受累部位。关于跟骨骨内脂肪瘤的已发表文章很少，尼泊尔曾报道过一例。我们报告一例35岁女性，她出现左足跟痛1年。疼痛强度逐渐增加，严重到足以使她无法进行日常生活活动。她接受了刮除术并使用骨水泥填充缺损的手术治疗。随访2.5年时无残留疼痛。我们简要回顾了骨内脂肪瘤的推测发病机制、临床表现、诊断及各种治疗方式。骨科医生应对足跟痛的罕见病因及其可能的处理高度怀疑。当保守方法不能缓解症状时，手术切除并用骨水泥填充缺损可提供长期缓解。
