An Unusual Case of Common Digital Nerve Compression Caused by a Lipoma Arising From the Flexor Tenosynovium

Suginaka, Hiroshi; Hara, Akira; Kudo, Toshiya

doi:10.1142/s0218810413720337

Cited by 5 publications

(4 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In both cases, removal of the lipoma resulted in recovery of bony erosion. Suginaka et al[ 12 ] reported a case of a male patient in his 60s who was diagnosed with a 4-cm lipoma in the flexor tenosynovium compressing the common digital nerve and leading to neurological symptoms. Gurich and Pappas[ 13 ] reported a lipoma of tendon sheath origin in the fourth extensor compartment of the hand.…”

Section: Discussionmentioning

confidence: 99%

Giant lipoma in the index finger of the dominant hand of a swimmer: A case report

Choi

Jung

et al. 2023

Jt Dis Relat Surg

View full text Add to dashboard Cite

Lipoma is a very common benign tumor that occurs in areas of adipose tissue and is commonly found on the whole body, although its occurrence in the hand and finger is rare. Giant lipoma, defined as over 5 cm long in diameter, is a rare benign tumor of abundant soft tissue in the finger. A 24-year-old male patient presented with a giant lipoma on the volar aspect of the index finger of his right hand. Magnetic resonance imaging (MRI) showed an encased multilobulated mass that measured 7.1x1.2x2.3 cm, and histopathological examination revealed lipoma without malignant transformation. Surgical resection of the tumor with a longitudinal and zig-zag incision of the palm was performed exposing the mass surrounding the palmar digital branch of the median nerve. The mass was completely removed, and neurorrhaphy was performed via the microscope to repair the damaged neurovascular bundle. At four months of postoperative follow-up, the patient was completely recovered with no finger paresthesia or limitation of range of motion. As a professional swimmer, the patient has experienced no subsequent difficulty in swimming due to his finger.

show abstract

Section: Discussionmentioning

confidence: 99%

Giant lipoma in the index finger of the dominant hand of a swimmer: A case report

Choi

Jung

et al. 2023

Jt Dis Relat Surg

View full text Add to dashboard Cite

show abstract

“…First-line therapy of PS involve non-steroidal anti-inflammatory drugs that usually provide short-term pain relief. Patients can also try physical therapy with stretching exercises including external rotation, hip flexion, and adduction [12].…”

Section: Discussionmentioning

confidence: 99%

Piriformis syndrome caused by rare intramuscular lipoma: A case report

Gnesutta¹,

Atria²,

Calvi³

et al. 2022

Open J Clin Med Images

View full text Add to dashboard Cite

We present the case of a 73-year-old man with history of back and left sciatic nerve pain, who came to our hospital centre due to perform a lumbar spine MRI. The MRI scan didn’t reveal compression of the left nerve roots by hernia formations, but collaterally showed a well-defined lesion, with MRI characteristics of adipose tissue, localized in the left piriformis muscle, compatible with a lipoma that displaced the ipsilateral sciatic nerve but did not invade it.

show abstract

“…2,3,8,9 Local causes like wrist fractures or soft tissue tumors have also been reported. 10,11 Muscular abnormalities are found mainly in manual workers. Those abnormalities concern three muscles: the palmaris longus, the flexor digitorum superficialis of index, and the lumbricals.…”

Section: Discussionmentioning

confidence: 99%

Hypertrophied reverse palmaris longus muscle: a rare cause of carpal tunnel syndrome

2020

View full text Add to dashboard Cite

Carpal tunnel syndrome (CTS) is usually secondary to compression or irritation of the median nerve in the fibro-osseous canal formed by the flexor retinaculum (transverse carpal ligament) and the carpal bones. The prevalence of CTS in the general population is about 7 to 19%. Several causes both local and systemic have been described, but CTS due to aberrant musculature are rare. Here we report a case of a middle-aged female with paresthesia of the hand and a positive Phalen’s test with nerve conduction study of the median nerve showing sensorimotor neuropathy. The patient underwent surgery for open CTS release where we found a hypertrophied reverse palmaris longus muscle attached to the palmar aponeurosis which was excised along with its proximal tendon. On post-operative follow up all the symptoms of CTS were completely resolved. Muscle abnormalities concern three muscles: the palmaris longus, the flexor digitorum superficialis of index, and the lumbricals. These muscles can be hypertrophied, bifid, duplicated, digastric, inverted or have an abnormal insertion, thus creating a mechanical restriction of the carpal tunnel. Surgical resection of abnormal muscle provides excellent functional recovery.

show abstract

An Unusual Case of Common Digital Nerve Compression Caused by a Lipoma Arising From the Flexor Tenosynovium

Cited by 5 publications

References 3 publications

Giant lipoma in the index finger of the dominant hand of a swimmer: A case report

Giant lipoma in the index finger of the dominant hand of a swimmer: A case report

Piriformis syndrome caused by rare intramuscular lipoma: A case report

Hypertrophied reverse palmaris longus muscle: a rare cause of carpal tunnel syndrome

Contact Info

Product

Resources

About