title: Endoscopic surgery in athletes with a symptomatic calcaneal lipoma.
abstract: OBJECTIVE
  This study shows that endoscopy is an effective treatment modality for athletes with a symptomatic calcaneal lipoma.
  
  
  METHODS
  Between 2013 and 2016, five professional athletes with symptomatic calcaneal lipoma underwent endoscopic-assisted curettage and bone graft treatment. Lipoma size was measured by magnetic resonance imaging (MRI) and rated using the American Orthopaedic Foot and Ankle Society Ankle-Hindfoot Scale (AOFAS). All athletes were followed up for 12 months postoperatively and monitored on return to previous activity level.
  
  
  RESULTS
  The mean ankle-hindfoot scale score improved from a preoperative 71.3 +/-3.9 points (median 67-81) to a postoperative 97.8 +/-3.4 points (median 89-100). Radiological assessment revealed no recurrence or pathologic fracture, with adequate bone fill-up in all 5 cases. All athletes returned to their previous level of activity within 8 weeks of surgery (mean period 7.2 weeks, median 5-8 weeks).
  
  
  CONCLUSIONS
  Endoscopic surgery can be used as a valid treatment tool for athletes with a calcaneal lipoma. It allows for a safe and early return to sports activities and minimises risk for recurrence and pathological fracture after initial return to play.
  
  
  METHODS
  IV.
authors.affiliation: Department of Orthopaedic Surgery, Aspetar Orthopaedic and Sportsmedicine Hospital, Aspire Zone, Sportscity Street 1, PoBox 29222, Doha, Qatar. pieter.dhooghe@aspetar.com.
authors.forename: P
authors.initials: P
authors.lastname: D'Hooghe
authors.affiliation: Department of Orthopaedic Surgery, Aspetar Orthopaedic and Sportsmedicine Hospital, Aspire Zone, Sportscity Street 1, PoBox 29222, Doha, Qatar.
authors.forename: B
authors.initials: B
authors.lastname: Krivokapic
authors.affiliation: Department of Orthopaedic Surgery, Aspetar Orthopaedic and Sportsmedicine Hospital, Aspire Zone, Sportscity Street 1, PoBox 29222, Doha, Qatar.
authors.forename: P
authors.initials: P
authors.lastname: Dzendrowskyj
authors.affiliation: Department of Orthopaedic Surgery, Aspetar Orthopaedic and Sportsmedicine Hospital, Aspire Zone, Sportscity Street 1, PoBox 29222, Doha, Qatar.
authors.forename: K
authors.initials: K
authors.lastname: Hassoun
authors.affiliation: Department of Orthopaedic Surgery, Aspetar Orthopaedic and Sportsmedicine Hospital, Aspire Zone, Sportscity Street 1, PoBox 29222, Doha, Qatar.
authors.forename: B
authors.initials: B
authors.lastname: Bukva
authors.affiliation: Department of Orthopaedic Surgery, Aspetar Orthopaedic and Sportsmedicine Hospital, Aspire Zone, Sportscity Street 1, PoBox 29222, Doha, Qatar.
authors.forename: P
authors.initials: P
authors.lastname: Landreau
mesh_terms: D000293:Adolescent; D000328:Adult; D001859:Bone Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D016025:Bone Transplantation; D002111:Calcaneus / Q000000981:diagnostic imaging / Q000601:surgery*; D004724:Endoscopy; D005260:Female; D006801:Humans; D008067:Lipoma / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D008297:Male; D011859:Radiography; D000068958:Return to Sport; D016896:Treatment Outcome; D055815:Young Adult
keywords: Athlete; Calcaneus; Endoscopy; Lipoma; Magnetic resonance imaging