CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo)
DOI: 10.1055/s-0041-1726072
Relato de Caso

Sensory and Motor Median Nerve Neuropathy Due to a Deep Giant Hand Lipoma. A Case Report

Article in several languages: português | English
1   Departamento de Ortopedia, General Hospital of Agios Nikolaos, Creta, Grécia
,
Vasiliki Georgopoulou
1   Departamento de Ortopedia, General Hospital of Agios Nikolaos, Creta, Grécia
,
2   Departamento de Ortopedia, Venizeleio General Hospital of Heraklion, Creta, Grécia
,
Maria S. Katsafarou
1   Departamento de Ortopedia, General Hospital of Agios Nikolaos, Creta, Grécia
› Author Affiliations

Abstract

Lipomas are the most common soft-tissue tumors in the human body, but their location in the hand is rare. Symptomatic hand lipomas, due to nerve compression, are even rarer. We present a case of median nerve neuropathy as a result of a giant palm lipoma, located on the thenar and hypothenar areas of the hand. The patient had typical symptoms of carpal tunnel syndrome, along with compromised thumb motion. Intraoperatively, the recurrent motor branch of the median nerve was sitting on the lipoma under a great tension. This particular location of the motor branch of the median nerve in relation to the lipoma makes this case unique. The tumor was excised protecting the neurovascular structures, and a few weeks later the patient regained full thumb motion, grip strength, and resolution of dysesthesia.



Publication History

Received: 18 October 2020

Accepted: 08 January 2021

Article published online:
19 April 2021

© 2021. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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