• K Karthik and S Aarthi.
• Department of Orthopaedic Surgery, James Cook University Hospital, Marton Road, Middlesbrough TS43BW, United Kingdom. karthi97@gmail.com
• Foot Ankle Surg. 2011 Jun 1; 17 (2): e25-7.

AbstractBenign lytic lesions of the calcaneus are rare and are usually asymptomatic. We report this case of a 55-year-old man with bilateral non-traumatic plantar heel pain, which was treated conservatively as plantar fasciitis. At three months follow-up, the patient had complete relief of symptoms in the left heel with partial relief of symptoms on the right side. However under the insistence of the patient an X-ray was taken, which revealed an expansile lytic lesion of the right calcaneus and a normal left heel. CT-scan revealed an expansile lytic lesion on the right calcaneus and an early lytic lesion in the left calcaneus. Following surgical intervention, the diagnosis was confirmed as intra-osseous lipoma and the patient was completely symptom free at two-year follow-up. Patients presenting with non-traumatic heel pain should be explained about the possible causes of heel pain, and should be offered X-ray at the first visit. In patients with X-ray showing unilateral lipoma of the calcaneus, CT scan should be offered to rule out involvement of the opposite side.Copyright © 2010 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.

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