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DOI: 10.1055/s-0041-1726072
Sensory and Motor Median Nerve Neuropathy Due to a Deep Giant Hand Lipoma: A Case Report
Article in several languages: português | EnglishFinancial Support There was no financial support from public, commercial or non-profit sources.
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.
Work carried out at the Orthopaedics Department, Agios Nikolaos General Hospital, Crete, Greece.
Publication History
Received: 18 October 2020
Accepted: 08 January 2021
Article published online:
19 April 2021
© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)
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Referências
- 1 Grivas TB, Psarakis SA, Kaspiris A, Liapi G. Giant lipoma of the thenar--case study and contemporary approach to its aetiopathogenicity. Hand (N Y) 2009; 4 (02) 173-176
- 2 Fazilleau F, Williams T, Richou J, Sauleau V, Le Nen D. Median nerve compression in carpal tunnel caused by a giant lipoma. Case Rep Orthop 2014; 2014: 654934
- 3 Nadar MM, Bartoli CR, Kasdan ML. Lipomas of the hand: a review and 13 patient case series. Eplasty 2010; 10: e66
- 4 Lisenda L, van Deventer S, Pikor T, Lukhele M. Case report: Giant lipoma of the hand. SA Orthop J 2013; 12 (03) 46-48
- 5 Ribeiro G, Salgueiro M, Andrade M, Fernandes VS. Giant palmar lipoma - an unusual cause of carpal tunnel syndrome. Rev Bras Ortop 2017; 52 (05) 612-615
- 6 Babins DM, Lubahn JD. Palmar lipomas associated with compression of the median nerve. J Bone Joint Surg Am 1994; 76 (09) 1360-1362
- 7 Singh V, Kumar V, Singh AK. Case report: A rare presentation of Giant palmar lipoma. Int J Surg Case Rep 2016; 26: 21-23
- 8 Pagonis T, Givissis P, Christodoulou A. Complications arising from a misdiagnosed giant lipoma of the hand and palm: a case report. J Med Case Reports 2011; 5: 552
- 9 Dae-Geun Kim. Sung-Il Hwang. Deep-Seated Giant Lipoma on the Hand Inducing Carpal Tunnel Syndrome. Soonchunhyang Med Sci 2020; 26 (01) 19-21
- 10 Kim KS, Lee H, Lim DS, Hwang JH, Lee SY. Giant lipoma in the hand: A case report. Medicine (Baltimore) 2019; 98 (52) e18434