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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
Artikel in mehreren Sprachen: 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.
Publikationsverlauf
Eingereicht: 18. Oktober 2020
Angenommen: 08. Januar 2021
Artikel online veröffentlicht:
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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