Case: Lipofibromatous hamartoma (LFH) is a rare benign tumor of the peripheral nerves, which often affects upper extremity. There is no consensus regarding management of these lesions. We report a case of median nerve LFH in the volar forearm of a 24-year-old man with carpal tunnel syndrome symptoms. Clinically, the mass appeared tender to palpation, ill-defined and soft, located on the volar aspect of the left forearm. Open epineurotomy and neurolysis of the median nerve were performed with full recovery at 1 year. Conclusion: Surgical approach may be resolutive in patients with large masses refractory to conservative treatment.
Surgical Treatment of a Voluminous Median Nerve Lipofibromatous Hamartoma Involving Distal Forearm / Pecchia, Stefano; Guzzini, Matteo; Koverech, Guido; Arioli, Leopoldo; Andreozzi, Valerio; Perugia, Dario. - In: JBJS CASE CONNECTOR. - ISSN 2160-3251. - (2021). [10.2106/JBJS.CC.20.01022]
Surgical Treatment of a Voluminous Median Nerve Lipofibromatous Hamartoma Involving Distal Forearm
Stefano Pecchia;Matteo Guzzini;Guido Koverech;Leopoldo Arioli;Valerio Andreozzi;Dario Perugia
2021
Abstract
Case: Lipofibromatous hamartoma (LFH) is a rare benign tumor of the peripheral nerves, which often affects upper extremity. There is no consensus regarding management of these lesions. We report a case of median nerve LFH in the volar forearm of a 24-year-old man with carpal tunnel syndrome symptoms. Clinically, the mass appeared tender to palpation, ill-defined and soft, located on the volar aspect of the left forearm. Open epineurotomy and neurolysis of the median nerve were performed with full recovery at 1 year. Conclusion: Surgical approach may be resolutive in patients with large masses refractory to conservative treatment.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
