Compressive Lipoma of the Hand Causing Carpal Tunnel Syndrome
Sbai Mohamed Ali
Department of Plastic, Reconstructive and Burns Surgery CHU Nabeul, Faculty of Medicine of Tunis, University El Manar Tunis Tunisia, Tunisia.
Ben Omrane Youssef *
Department of Plastic, Reconstructive and Burns Surgery CHU Nabeul, Faculty of Medicine of Tunis, University El Manar Tunis Tunisia, Tunisia.
Ben Othma Nadia
Service of radiology CHU Nabeul, Faculty of Medicine of Tunis, University El Manar Tunis Tunisia, Tunisia.
Trabelsi Becem
Service of anesthesia resuscitation CHU Nabeul, Faculty of Medicine of Tunis, University El Manar Tunis Tunisia, Tunisia.
Mecheel Ben Ali
Service of anesthesia resuscitation CHU Nabeul, Faculty of Medicine of Tunis, University El Manar Tunis Tunisia, Tunisia.
Bouzaidi Khaled
Service of radiology CHU Nabeul, Faculty of Medicine of Tunis, University El Manar Tunis Tunisia, Tunisia.
*Author to whom correspondence should be addressed.
Abstract
Aims: We report the case of a patient presenting with paresthesia in the median nerve territory following compression by a palmar lipoma evoking a carpal tunnel syndrome. The aim of this work is to review the epidemiological, diagnostic and therapeutic aspects of this pathology.
Presentation of Case: We present the case of a 40-year-old female patient who presented paresthesia in the territory of the median nerve, the clinical and paraclinical examinations showed the presence of a lipoma of the middle palmar region of the right hand at the origin of a compression of the branches of division of the median nerve; The resection of the lipoma and the neurolysis of the interdigital nerves of the median nerve have allowed a good evolution
Discussion: Lipoma of the hand is a very rare localization that can lead to nerve compression and can mimic the symptoms of carpal tunnel. The diagnosis is facilitated by ultrasound and magnetic resonance imaging (MRI).
Conclusion: Compression of the median nerve by a lipoma is a very rare cause. The removal of the lipoma and the neurolysis of the median nerve gives excellent results.
Keywords: Carpal tunnel syndrome, lipoma, hand