• 1

    Campbell, RD, AJ Grainger, DC Mangham, et al. :Intraosseous lipoma: report of 35 new cases and a review of the literature. .Skeletal Radiol 32::209. ,2003. .

  • 2

    Radl, R, A Leithner, F Machacek, et al. :Intraosseous lipoma: retrospective analyses of 29 patients. .Int Orthop 28::374. ,2004. .

  • 3

    Freiberg, RA, GW Air, CJ Gluck, et al. :Multiple intraosseous lipomas with type-IV hyperlipoproteinemia. .J Bone Joint Surg Am 56::1729. ,1974. .

  • 4

    Szendroi, M, K Karlinger, and A Gonda. :Intraosseous lipomatosis: a case report. .J Bone Joint Surg Br 73::109. ,1991. .

  • 5

    Hepple, S, IG Winson, and D Glew. :Osteochondral lesions of the talus: a revised classification. .Foot Ankle Int 20::789. ,1999. .

  • 6

    Kitaoka, HB, IJ Alexander, RS Adelaar, et al. :Clinical rating systems for the ankle-hindfoot, midfoot, hallux, and lesser toes. .Foot Ankle 15::349. ,1994. .

  • 7

    Milgram, JW . :Intraosseous lipomas: radiologic and pathologic manifestations. .Radiology 167::155. ,1988. .

  • 8

    Milgram, JW . :Intraosseous lipomas, a clinic-pathologic study of 66 cases. .Clin Orthop Relat Res 231::277. ,1988. .

  • 9

    Yildiz, HY, D Altinok, and Y Saglik. :Bilateral calcaneal intraosseous lipoma: a case report. .Foot Ankle Int 23::60. ,2002. .

  • 10

    Blacksin, MF, N Ende, and J Benevenia. :Magnetic resonance imaging of intraosseous lipomas: a radiologic-pathologic correlation. .Skeletal Radiol 24::37. ,1995. .

  • 11

    Kamekura, S, K Nakamura, H Oda, et al. :Involuted intraosseous lipoma of the sacrum showing high signal intensity on T1-weighted magnetic resonance imaging (MRI). .J Orthop Sci 6::183. ,2001. .

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 12

    Han, SH, JW Lee, DY Lee, et al. :Radiographic changes and clinical results of osteochondral defects of the talus with and without subchondral cysts. .Foot Ankle Int 27::1109. ,2006. .

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 13

    Scranton, PE and JE McDermott. :Treatment of type V osteochondral lesions of the talus with ipsilateral knee osteochondral autografts. .Foot Ankle Int 22::380. ,2001. .

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation

An Unusual Cause of a Cystic Lesion with an Osteochondral Defect in the Talus

Intraosseous Lipoma

Evren Fehmi Atay Orthopaedics and Traumatology Clinic, Rumeli Hospital, Sefaköy, Istanbul, Turkey

Search for other papers by Evren Fehmi Atay in
Current site
Google Scholar
PubMed
Close
 MD
,
Melih Güven Department of Orthopaedics and Traumatology, The Hospital of University of Abant Izzet Baysal, Bolu, Turkey. Dr. Guven is now with Department of Orthopaedics and Traumatology, Medical Faculty of Yeditepe University, Istanbul, Turkey

Search for other papers by Melih Güven in
Current site
Google Scholar
PubMed
Close
 MD
,
Murat Çakar Orthopaedics and Traumatology Clinic, Şarköy Government Hospital, Tekirdağ, Turkey

Search for other papers by Murat Çakar in
Current site
Google Scholar
PubMed
Close
 MD
,
Cumhur Ibrahim Başsorgun Department of Pathology, Akdeniz University Medical School, Antalya, Turkey

Search for other papers by Cumhur Ibrahim Başsorgun in
Current site
Google Scholar
PubMed
Close
 MD
,
Budak Akman Department of Orthopaedics and Traumatology, Gülhane Military Medical Faculty Hospital, Istanbul, Turkey. Dr. Akman is now with Orthopaedics and Traumatology Clinic, Artvin Government Hospital, Artvin, Turkey

Search for other papers by Budak Akman in
Current site
Google Scholar
PubMed
Close
 MD
, and
Cemal Bes Department of Internal Medicine, Rheumatology, The Hospital of University of Abant Izzet Baysal, Bolu, Turkey

Search for other papers by Cemal Bes in
Current site
Google Scholar
PubMed
Close
 MD

An intraosseous lipoma is a rare benign bone lesion that proliferates from mature lipocytes. It occurs most frequently in the lower limb, particularly in the calcaneus. The talus is an unusual location for this rare lesion. A review of the literature produced only two reports with talar intraosseous lipomas under the name of intraosseous lipomatosis, which described multiple lipomas in different areas. We describe a 38-year-old male patient who had an isolated intraosseous lipoma with an osteochondral defect in the talus and was treated with autologous osteochondral graft transplantation by medial malleolar osteotomy. He could walk with full weightbearing without any assistance at the end of 12 months. Intraosseous lipoma localized in the talus may be confused radiologically with other bone lesions, especially with unicameral bone cyst, if it is associated with an osteochondral defect. Autologous osteochondral graft transplantation is a successful treatment method for talar intraosseous lipoma. (J Am Podiatr Med Assoc 101(3): 269–274, 2011)

Corresponding author: Melih Güven, MD, FEBOT, Department of Orthopaedics and Traumatology, Medical Faculty of Yeditepe University, Istanbul, Turkey. (E-mail: maguven2000@gmail.com)
Save