Gross and Burnett1 in 1933 described the appearance of semifluctuant irregularly lobulated fatty masses beneath the outer malleoli as a common observance. While the literature suggests that lipomas of the feet are uncommon, the author’s experience suggests that juxtamalleolar lipomas are commonly overlooked and under diagnosed.2-4 Lipomas around the malleoli are a common occurrence in middle-aged women. Because of their appearance during menopause, these fat deposits were once referred to as Menopausal Lipoma. This association, however, has not been proven. These fatty masses may occur either gradually or appear fairly suddenly within a year or two. These swellings often are confused with edema from congestive heart disease or ankle synovitis associated with arthritis. The lesions tend at times to be tender or painful due to compression of the sensory branch of the superficial peroneal nerve, which normally traverses these fatty masses.5 

A 53-year-old woman with...

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