PT  - JOURNAL ARTICLE
AU  - Sobota, Jana Kerstin Betty
AU  - Kienapfel, Hanna
AU  - Werner, Mathias
AU  - Vogt, Dominik Maximilian
TI  - Intraosseous myolipoma of the calcaneus
AID  - 10.1136/bcr-2024-259743
DP  - 2024 Mar 01
TA  - BMJ Case Reports
PG  - e259743
VI  - 17
IP  - 3
4099  - http://casereports.bmj.com/content/17/3/e259743.short
4100  - http://casereports.bmj.com/content/17/3/e259743.full
SO  - BMJ Case Reports2024 Mar 01; 17
AB  - A man in his 40s presented with an incidental finding of an osteolytic bone lesion. He sustained an ankle injury while inline skating, fracturing his lateral malleolus. Besides the fracture, radiographic imaging on the day of the injury incidentally revealed a well-defined solitary osteolytic lesion with a sclerotic rim within the right calcaneus. MRI showed an intraosseous, fat-containing lesion with focal contrast enhancement, assessed as an intraosseous lipoma with central necrosis. In the pathological analysis of a sample of the lesion an intraosseous myolipoma of the calcaneus was found—an unexpected and extraordinary finding. To prevent pathological fracturing, curettage and bone grafting were performed using autologous iliac crest bone in combination with allogenous bone chips.