Intraosseous lipoma of the talus

Lipomas of the talus are rare benign bone lesions. They are usually atraumatic in aetiology with a male preponderance and generally occur between the third and sixth decades of life. We report the case of a man in his 30s who had presented with pain and swelling in the posteromedial aspect of his left ankle of 6 months' duration, associated with functional restrictions, and was diagnosed as a case of intraosseous lipoma involving the talus. The patient was managed surgically by extended curettage and iliac crest bone grafting. After a period of 1 year, he was able to perform all activities and no recurrence was observed.