Calcaneal lipoma

Discussion:

One of the most common benign lesions of calcaneum. Identified usually between 30 - 70 years of age. Remains asymptomatic in a good number of patients and most often does not require any treatment. In the absence of central calcification, the lesion can be easily missed on a busy working day and should always be looked out for in the calcaneum. 

It is typically seen in Wards triangle, an area of lucency within the calcaneum in the region of base and neck wherein there is absence of trabecullae. When prominent, the lucency on radiographs can also appear as a pseudolesion. 

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