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A Rare Case of Chondromyxoid Fibroma of Calcaneum: A Case Report

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Vol. 11 | Issue 1 | January-February 2023 | Page: 27-29 | Shekar Mudramaiah, Pavith Janardhan T, Ajay Krishna

DOI: https://doi.org/10.13107/jkoa.2023.v11i01.062

Authors: Shekar Mudramaiah [1], Pavith Janardhan T [1], Ajay Krishna [1]

[1] Sanjay Gandhi Institute of Trauma & Orthopaedics, Bengaluru, Karnataka, India.

Address of Correspondence

Dr. Pavith Janardhan T
Fellow in Arthroplasty, Sanjay Gandhi Institute of Trauma & Orthopaedics, Bengaluru, Karnataka, India.
E-mail: pavithjanardhan2301@gmail.com

Abstract

Chondromyxoid fibroma is a rare benign Primary tumour occurring in the calcaneum. We report a case of a 23-year-old woman with 3 months history of sudden onset right heel pain with no history of trauma. Which was exacerbated by movement such as walking and standing. A radiographic examination of the right foot and ankle revealed a lesion in the posterior part of the calcaneum. The calcaneum was further evaluated using an MRI scan which revealed a lytic lesion with clearly defined borders. The lesion was treated with curettage, iliac bone grafting, and cementing. Three months after surgery, the graft was consolidated with bone cement in place. There was no sign of recurrence at the one-year follow-up, and the patient had adequate ankle range of motion. Even though the tumour is rare, there is a need for physicians to recognize its radiological features and offer appropriate treatment options.
Keywords: Chondromyxoid fibroma, Lytic lesion, Benign primary tumour

References

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5. Dürr H R, Lienemann A, Nerlich A, Stumpenhausen B, Refior HJ: Chondromyxoid fibroma of bone. Arch Orthop Trauma Surg. 2000; 120(1-2):42-7
6. Ebrahimzadeh MH, Dallouei SR. Chondromyxoid fibroma of the calcaneus. J Am Podiatr Med Assoc. 2007; 97: 223-224.
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8. Wilson AJ, Kyriakos M, Ackerman LV. Chondromyxoid fibroma: radiographic appearance in 38 cases and in a review of the literature. Radiology. 1991; 179: 513-518.
9. Damle RP, Suryawanshi KH, Dravid NV, et al. Chondromyxoid fibroma of bone. JCR. 2013; 3: 228-231.
10. Zillmer DA, Dorfman HD. Chondromyxoid fibroma of bone: thirty-six cases with clinicopathologic correlation. Hum Pathol. 1989; 20: 952-964.
11. Chondromyxoid fibroma of the calcaneus: a case report and literature review. Azami MA, Lahbali O, El alami I, et al. SM J Orthop. 2017;3:1047.
12. Chondromyxoid fibroma of the calcaneus: two case reports and literature review. Roberts EJ, Meier MJ, Hild G, Masadeh S, Hardy M, Bakotic BW. J Foot Ankle Surg. 2013;52:643–649.

How to Cite this article: Mudramaiah S, Janardhan JT, Krishna A A Rare | Case of Chondromyxoid Fibroma of Calcaneum: A Case Report | Journal of Karnataka Orthopaedic Association | January-February 2023; 11(1): 27-29 | https://doi.org/10.13107/jkoa.2023.v11i01.062

 

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Calcaneal Intraosseous Lipoma: A Case Report

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Vol. 10 | Issue 1 | January-February 2022 | Page: 26-28 | Bharath Raju G, Ravish V N, Naveen Kumar, B M Bharath Gowda

DOI:10.13107/jkoa.2022.v10i01.048

Authors:  Bharath Raju G [1], Ravish V N [1], Naveen Kumar [1], B M Bharath Gowda [1]

[1] Department of Orthopaedics, KIMSH & RC, V.V Puram, Bangalore, Karnataka, India.

Address of Correspondence

Dr. B M Bharath Gowda,
Department of Orthopaedics, KIMSH & RC, V.V Puram, Bangalore, Karnataka, India.
E-mail: bharathg931@gmail.com

Abstract

Background: This case report is presented to increase awareness among clinicians about the existence of this rare cause of calcaneal pain. Intraosseous lipoma is a rare, benign primary tumour occurring in the bone We report a 40-year-old lady who presented with the history of one week old trauma with pain in the lateral aspect of right ankle which was clinically diagnosed to be right lateral collateral ligament sprain. The radiographs of the right ankle and heel incidentally revealed a lytic lesion. The patient had no symptoms persisting to foot and heel. MRI of right foot was suggestive of calcaneal stage 2 intra osseous lipoma. In view of the subchondral location of the lesion, prophylactically the lesion was treated with curettage and bone grafting to prevent the pathological fracture. The post-operative radiographs demonstrated continued remodelling and healing of the graft site. The patient was followed up on an OPD basis and made a full recovery with good patient compliance. Even though this tumour is rare, there is a need for physicians to recognize its radiological findings and offer the appropriate treatment options. It is also important for primary care physicians to be aware that there are other causes of heel pain than the common suspects.
Keywords: Intraosseous lipoma, Heel pain, Lytic lesion, Benign primary tumour

References

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2. Child PL. Lipoma of the os calcis; report of a case. Am J Clin Pathol. 1955; 25(9):1050-2.
3. Hatori M, Hosaka M, Ehara S, Kokubun S. Imaging features of intraosseous lipomas of the calcaneus. Arch Orthop Trauma Surg. 2001;8:429-32
4. 4. Muramatsu K, Tominaga Y, Hashimoto T and Taguchi T: Symptomatic intraosseous lipoma in the calcaneus. Anticancer Res 34: 963-966, 2014.
5. Ozdemir H, Bozgeyik Z, Kocakoc E, Kalender O. MRI findings of intraosseous lipoma: Case report. Mag Reson Imaging. 2004;22:281-4
6. Richardson AA, Erdmann BB, Beier-Hanratty S, Lautz D, Jacobs PM, Julsrud ME and Ringstrom JB: Magnetic resonance imagery of a calcaneal lipoma. J Am Podiatr Med Assoc 85: 493-496, 1995.
7. Genchi V, Scialpi M, Scarciolla G, Dimauro F and Trigona A: Intraosseous lipoma of the calcaneus. Characterization with computerized tomography and magnetic resonance in a case. Radiol Med 99: 86-88, 2000 (In Italian)
8. Pogoda P, Priemel M, Linhart W, Stork A, Adam G, Windolf J, Rueger JM and Amling M: Clinical relevance of calcaneal bone cysts: A study of 50 cysts in 47 patients. Clin Orthop Relat Res 424: 202-210, 2004
9. Weinfeld GD, Yu GV and Good JJ. Intraosseous lipoma of the calcaneus: A review and report of four cases. J Foot Ankle Surg. 2002;416: 398-411.
10. Yildiz HY, Altinok D, Saglik Y. Bilateral calcaneal intraosseous lipoma: A case report. Foot Ankle Int. 2002;23:60-63.
11. Hirata M, Kusuzaki K, Hirasawa Y: Eleven cases of intraosseous lipoma of the calcaneus. Anticancer Res. 2001;21:4099- 4103
12. Cao Y. Internal fixation combined with bone grafting for large intraosseous calcaneal lipoma: A case report. Mol Clin Oncol. 2017 Nov;7(5):877-879. doi: 10.3892/mco.2017.1421. Epub 2017 Sep 19. PMID: 29181183; PMCID: PMC5700290.
13. Toepfer A, Lenze U, Gerdesmeyer L, Pohlig F, Harrasser N. Endoscopic resection and allografting for benign osteolytic lesions of the calcaneus. Springerplus. 2016 Apr 11;5:427. doi: 10.1186/s40064-016-2059-y. PMID: 27104115; PMCID: PMC4828351.

How to Cite this article:  Raju G B, Ravish VN, Kumar N, Gowda BMB | Calcaneal Intraosseous Lipoma: A Case Report | Journal of Karnataka Orthopaedic Association | January-February 2022; 10(1): 26-28.

 

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