Heel Lipoma Mimicking Plantar Fasciitis

NewsBot · Jan 24, 2015

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Heel Lipoma Mimicking Plantar Fasciitis in a Ballroom Dancer
Nicholas R. Taweel, DPM, DPT, Steven M. Raikin, MD
The Journal of Foot & Ankle Surgery; Article in Press

The present case illustrates a lipoma as an unusual cause of heel pain. A 64-year-old female ballroom dancer presented with 8 months of pain that was unresponsive to previous treatment of plantar fasciitis. Magnetic resonance imaging revealed a heel lipoma. Her pain was fully resolved after surgical excision. Soft tissue tumors should be included in the differential diagnosis of heel pain, especially when symptoms and treatment response do not follow the typical course of plantar fasciitis.
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Admin2 · Jan 24, 2015

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NewsBot · Oct 3, 2015

Lipoma of the Heel: A Common Benign Tumor over Uncommon Site
Mirat Dholakia, Digvijay Jadhav, Gurjit Singh, Mackson Nongmaithem, Amit Chandan
Journal of Evidence based Medicine and Healthcare; Volume 2, Issue 39, September 28, 2015; Page: 6559-6563,

Lipoma is a universal benign tumour which is uncommon in foot and especially in
sole region. It should be considered in the differential diagnosis of foot lesions. A case of lipoma
of heel of five years duration in a 48 years old housewife is described in which FNAC was
inconclusive. However findings of imaging studies suggested diagnosis of lipoma which was
confirmed on histopathological examination of the excised mass. Literature has been reviewed
emphasising rarity of site lesion.
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NewsBot · Nov 29, 2017

A Case Report of Heel Pain Mimicking Plantar Fasciitis and Osteosarcoma: A Unique Presentation of a Nora's Lesion.
Rushing CJ et al
J Foot Ankle Surg. 2017 May - Jun;56(3):670-673.

Bizarre parosteal osteochondromatous proliferation, otherwise known as "Nora's lesion," is a rare benign neoplasm first described by Nora in 1983. The exact etiology of this neoplasm remains unknown, and its presentation in the lower extremity presents a diagnostic challenge, as both clinical and radiologic features cannot fully differentiate it from other neoplasms. We present the case of a 48-year-old female with plantar heel pain secondary to Nora's lesion mimicking plantar fasciitis and periosteal osteosarcoma. Following bone biopsy for histopathologic analysis, the patient's symptoms spontaneously resolved, and she returned to activity with complete resolution of symptoms 18 months post biopsy. Bizarre parosteal osteochondromatous proliferation as an etiology for plantar heel pain has not been previously described in the literature. Although rare, it should be considered in the differential diagnosis for patients presenting with plantar heel pain, especially after failed conservative treatment. Following diagnostic confirmation by histopathology, complete surgical excision is the treatment of choice.
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