Skip to main content
SpringerLink
Log in

Fibrolipomatous hamartoma of the inferior calcaneal nerve (Baxter nerve)

  • Case Report
  • Published:
Skeletal Radiology Aims and scope Submit manuscript

Abstract

Fibrolipomatous hamartoma (FLH) is a rare, benign lesion of the peripheral nerves most frequently involving the median nerve and its digital branches (80 %). Pathognomonic MR features of FLH such as coaxial-cable-like appearance on axial planes and a spaghetti-like appearance on coronal planes have been described by Marom and Helms, obviating the need for diagnostic biopsy. We present a case of fibrolipomatous hamartoma of the inferior calcaneal nerve (Baxter nerve) with associated subcutaneous fat proliferation.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

References

  1. Cavallaro MC, Taylor JA, Gorman JD, Haghighi P, Resnick D. Imaging findings in a patient with fibrolipomatous hamartoma of the median nerve. AJR Am J Roentgenol. 1993;161:837–8.

    PubMed  CAS  Google Scholar 

  2. Kransdorf MJ, Murphey MD. Lipomatous tumors. In: Imaging of Soft Tissue Tumors. 2nd ed. Philadelphia: W.B. Saunders; 2006. p. 80–149.

    Google Scholar 

  3. Kransdorf MJ. Benign soft-tissue tumors in a large referral population: distribution of specific diagnoses by age, sex, and location. AJR Am J Roentgenol. 1995;164:395–402.

    PubMed  CAS  Google Scholar 

  4. Louis DS, Hankin FM, Green TL, Dick HM. Lipofibromas of the median nerve: long- long- term follow-up of four cases. J Hand Surg [Am]. 1985;10:403–8.

    CAS  Google Scholar 

  5. Nilsson J, Sandberg K, Dahlin LB, Vendel N, Balslev E, Larsen L, et al. Fibrolipomatous hamartoma in the median nerve in the arm—an unusual location but with MR imaging characteristics: a case report. J Brachial Plex Peripher Nerve Inj. 2010;5:1.

    Article  PubMed  Google Scholar 

  6. Nouira K, Belhiba H, Baccar S, Miaaoui A, Ben Messaoud M, Turki I, et al. Fibrolipoma of the median nerve. Joint Bone Spine. 2007;74:98–9.

    Article  PubMed  Google Scholar 

  7. Sarawagi R, Anderson GA, Cherian RS. Fibrolipomatous hamartoma of the median nerve presenting with carpal tunnel syndrome. Neurol India. 2009;57:361–2.

    Article  PubMed  Google Scholar 

  8. Yang JH, Park OJ, Kim JE, Won CH, Chang SE, Lee MW, Choi JH, Moon KC. Precalcaneal congenital fibrolipomatous hamartoma. Ann Dermatol. 2011;23:92–4.

    Article  PubMed  Google Scholar 

  9. Van Breuseghem I, Scviot R, Pans S, Geusens E, Brys P, De Wever I. Fibrolipomatous hamartoma in the foot: atypical MR imaging findings. Skeletal Radiol. 2003;32:651–5.

    Article  PubMed  Google Scholar 

  10. Nielsen GP. Lipomatosis of nerve. In: Fletcher CDM, Unni KK, Mertens F, editors. World Health Organization Classification of Tumors. Pathology and Genetics of Tumors of Soft Tissue and Bone. Geneva: IARC Press; 2002. p. 24–5.

    Google Scholar 

  11. De Maeseneer M, Jaovisidha S, Lenchik L, et al. Fibrolipomatous hamartoma: MR imaging findings. Skeletal Radiol. 1997;26:155–60.

    Article  PubMed  Google Scholar 

  12. Marom EM, Helms CA. Firolipomatos hamartoma: pathognomonic on MR imaging. Skeletal Radiol. 1999;28:260–4.

    Article  PubMed  CAS  Google Scholar 

  13. Silverrman TA, Enzinger FM. Fibrolipomatous hamartoma of nerve: a clinicopathologic analysis of 26 cases. Am J Surg Pathol. 1985;9:7–14.

    Article  Google Scholar 

  14. Donovan A, Rosenberg ZS, Cavalcanti CF. MR imaging of entrapment neuropathies of the lower extremity: Part 2. The knee, ankle, and foot. Radiographics. 2010;30:1001–19.

    Article  PubMed  Google Scholar 

  15. Chundru U, Liebeskind A, Seidelmann F, Fogel J, Franklin P, Beltran J. Plantar fasciitis and calcaneal spur formation are associated with abductor digiti minimi atrophy on MRI of the foot. Skeletal Radiol. 2008;37(6):505–10.

    Article  PubMed  Google Scholar 

  16. Amadio PC, Reiman HM, Dobijns JH. Lipofibromatous hamartoma of nerve. J Hand Surg [A]. 1988;13:67–76.

    Article  CAS  Google Scholar 

Download references

Conflict of interest

The authors declare that they have no conflicts of interest.

Author information

Authors and Affiliations

  1. University of Tennessee Medical Center, Knoxville, TN, USA

    Rong Zeng, Katherine Frederick-Dyer, N. Lynn Ferguson, James Lewis & Yitong Fu

Authors
  1. Rong Zeng
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Katherine Frederick-Dyer
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. N. Lynn Ferguson
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. James Lewis
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Yitong Fu
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Rong Zeng.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Zeng, R., Frederick-Dyer, K., Ferguson, N.L. et al. Fibrolipomatous hamartoma of the inferior calcaneal nerve (Baxter nerve). Skeletal Radiol 41, 1323–1326 (2012). https://doi.org/10.1007/s00256-012-1408-3

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00256-012-1408-3

Keywords

Search

Navigation