The Archives of Bone and Joint Surgery

The Archives of Bone and Joint Surgery

Management of Symptomatic Lipoma of the Hand: A Case Series and Review of Literature

Document Type : SHORT COMMUNICATION

Authors
Masoud Yavari 1
Ahmadreza Afshar 2
Soraya Shahrokh Shahraki 3
Ali Tabrizi 4
Nilsa Doorandish 2
1 Department of Hand and Microsurgery, Panzdahe Khordad Hospital, Shahid Beheshti University of Medical Sciences, Tehran Iran
2 Department of Orthopedics, Imam Khomeini hospital, Urmia University of Medical Sciences, Urmia, Iran
3 Department of Plastic Surgery, Panzdahe Khordad Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
4 Department of Hand and Microsurgery, Panzdahe Khordad Hospital, Shahid Beheshti University of Medical Sciences, Tehran Iran- Department of Orthopedics, Imam Khomeini hospital, Urmia University of Medical Sciences, Urmia, Iran
10.22038/abjs.2021.57846.2864
Abstract
Soft tissue lipoma is one of the most common benign tumors rarely forming in hand. In this study, 11 cases of symptomatic 
hand lipoma were investigated. The chief complaint was a palpable mass in all 11 patients, out of whom 6 (55%) cases 
presented with neurological symptoms, including paresthesia and numbness in the median, ulnar, and superficial radial 
nerve pathways. One patient had an intramuscularly painful forearm with a large mass presentation. In the finger, 
the clinical manifestations were radial anesthesia of the finger. The mass sizes were above 5 cm3 and less than 5 
cm3 in seven and four patients, respectively. The mean follow-up period was 25 months. No patient demonstrated a 
recurrence during the follow-up period. Although lipoma is a benign tumor and often presents itself as a palpable mass 
in the hand, it can cause neurological symptoms and decreased function. Regardless of the size of the tumor, mass 
removal can prevent symptoms
Level of evidence: IV
Keywords
Carpal tunnel syndrome
Hand
Lipoma
Microsurgery
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The Archives of Bone and Joint Surgery
Volume 10, Issue 6
June 2022
Pages 530-535

  • Receive Date 23 May 2021
  • Revise Date 16 September 2021
  • Accept Date 06 October 2021