Carpal tunnel syndrome caused by a giant lipoma of the hand: A case report

Tellier, B. Gondran; Gabrian, Mariam; Jaquet, Jean-Bart

doi:10.1016/j.ijscr.2021.105647

Cited by 6 publications

(9 citation statements)

References 9 publications

(27 reference statements)

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“…If the mass shows atypical manifestations or causes symptoms such as pain and neuropathy, complete excision should be considered to relieve symptoms and rule out malignancy [3]. A fast-growing mass with symptoms has the potential of malignancy [7].…”

Section: Discussionmentioning

confidence: 99%

“…The most common type of soft tissue tumor of the hand and wrist is a ganglion cyst [7]. Ganglion cysts are mostly found in women in their 20s to 40s, and they usually occur on the dorsal aspect of the wrist, along the tendons or joints [1].…”

Section: Discussionmentioning

confidence: 99%

“…Ganglion cysts are mostly found in women in their 20s to 40s, and they usually occur on the dorsal aspect of the wrist, along the tendons or joints [1]. Since they are filled with thick fluid, they can be diagnosed with a simple transillumination test in an office with small light or through the aspiration of thick fluid [3,7] Lipoma is a common type of benign neoplasm discovered in up to 2% of the population that can occur almost anywhere in the body [3,8]. However, lipomas in the distal extremities are extremely rare, accounting for fewer than 1% of lipoma cases [4,6,8].…”

Section: Discussionmentioning

confidence: 99%

“…However, lipomas in the distal extremities are extremely rare, accounting for fewer than 1% of lipoma cases [4,6,8]. Lipomas of the hand usually occur in the subcutaneous layer [3,9], probably due to the thick mid-palmar fascia, but they are also found in the intermuscular, intramuscular, and parosteal layers [5,7]. Cysts typically appear as painless, well-circumscribed, and movable masses, and these findings may help in the diagnosis.…”

Section: Discussionmentioning

confidence: 99%

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A rare case of nerve compression caused by a connected lipoma of the wrist

Kim

Yoon

et al. 2023

Arch Hand Microsurg

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A variety of benign and malignant neoplasms can develop in the hand, originating from skin, adipose tissue, tendons, muscles, nerves, and bones. However, most cases are benign; therefore, observation is recommended if they are small, painless and do not cause limitation of motion. When symptoms are present or a lesion is larger than 5 cm in the long axis, an excisional biopsy is required to relieve symptoms and exclude malignancy. Lipomas of the hand are quite rare and do not generally cause symptoms. Lipomas of the hand that do present with symptoms are usually giant (larger than 5 cm in diameter) or located in a deeper layer, compressing the nearby nerves and vessels. We report a rare case of a non-giant superficial lipoma of the wrist that resembled two separate masses and caused pain, limitation of motion, and neurological symptoms.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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A rare case of nerve compression caused by a connected lipoma of the wrist

Kim

Yoon

et al. 2023

Arch Hand Microsurg

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“…Carpal tunnel syndrome (CTS) is caused by compression of the median nerve as the most common upper limb peripheral nerve entrapment syndrome (1). Even though almost 50% of cases of CTS are idiopathic, recognized causes of CTS include tissue infiltration, tissue edema, tissue inflammation, hemorrhage after injury, and congenital variations, such as an abnormal muscle, tendon, or persistent median artery (2)(3)(4)(5)(6)(7)(8). In addition to the radiocarpal joint, the flexor tendons, tendon sheaths, and the carpal tunnel floor, gouty tophi deposits can accumulate in various structures, resulting in nontraumatic compression of the median nerve (2).…”

Section: Introductionmentioning

confidence: 99%

Carpal tunnel syndrome caused by tophi deposited under the epineurium of the median nerve: A case report

Zhang

Feng

et al. 2023

Front. Surg.

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IntroductionUsually caused by compression of the wrist's median nerve, carpal tunnel syndrome (CTS) is one of the most common types of peripheral neuropathy. Tophi deposited under the epineurium of the median nerve compress the median nerve, leading to CTS, which is very rare.Case presentationWe report a 64-year-old man with a history of tophaceous gout who presented with typical CTS symptoms and was admitted to our hospital. A physical examination revealed swelling over the right volar aspect of the carpal region, and he was unable to flex due to subcutaneous rigidity. Tinel's sign and Phalen's maneuver were positive. Electrophysiological studies confirmed the diagnosis of CTS. A carpal tunnel release and surgery to remove the gouty tophus of the right wrist were performed when serum uric acid levels were within normal limits (5.8 mg/dl). During the operation, tophi deposited under the epineurium of the median nerve were found, and the tophi were completely removed. Operative findings confirmed the diagnosis of CTS due to gout. The patient recovered uneventfully without signs of recurrence of gout and CTS symptoms during a 1-year follow-up period.ConclusionA gouty tophus is an uncommon cause of CTS, and CTS may be caused by gouty tophi if there is evidence of extrinsic compression of the median nerve or symptoms emanating from the carpal tunnel.

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