Carpal Tunnel Syndrome Secondary to the Lipoma Mass: A Case Report and Review of Literature

Shahin Talebi; Shirin Sheibani; Alireza Teimourey; Mojtaba Dehghan

doi:10.18502/jost.v7i4.8866

Shahin Talebi Assistant Professor, Orthopedic Research Center, Mazandaran University of Medical Sciences, Sari, Iran
Shirin Sheibani Student Research Committee, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
Alireza Teimourey Student Research Committee, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
Mojtaba Dehghan Resident, Orthopedic Research Center, Mazandaran University of Medical Sciences, Sari, Iran

DOI: https://doi.org/10.18502/jost.v7i4.8866

Keywords: Lipomas; Carpal Tunnel Syndromes; Peripheral Nervous System Diseases; Tomaculous Neuropathy

Abstract

Background: Lipomas are benign adipocyte proliferations and the most common tumors in soft tissue, although the appearance of this tumor in the hand is rare. The most common peripheral compressive neuropathy is carpal tunnel syndrome (CTS). CTS caused by a space-occupying lesion such as lipomas is rare and causes more complications than idiopathic CTS.

Case Report: This report was about a case of a 62-year-old woman with a giant painless mass on the first web of her right hand, with no systemic symptom and just a burning sensation in her fingers. After evaluations, CTS was diagnosed. Surgical dissection of the mass was performed, and the patient’s symptoms improved. The pathology report indicated that the mass was a lipoma.

Conclusion: It is essential to examine the presence of different masses when the patient has neurological symptoms without justifying the history.