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Updated: Apr 28, 2026
Metacarpal Small Incision for Carpal Tunnel Syndrome
Published on: April 5, 2024
Median nerve compression in carpal tunnel caused by a giant lipoma
F Fazilleau1, T Williams1, J Richou2
1Department of Orthopaedic Surgery, CHRU La Cavale Blanche, Brest Hospital, Boulevard Tanguy Prigent, 29200 Brest, France ; Faculty of Medecine Brest, University of Western Brittany, 22 Rue Camille-Desmoulins, 29200 Brest, France.
Abstract:
A lipoma is a common, benign soft-tissue tumor that rarely arises in the upper limb. When one does occur in the hand, the location of the lipoma can cause nerve compression, which can mimic carpal tunnel symptoms. Magnetic resonance imaging is the visualization modality of choice for diagnosis and surgical planning of lipomas. Surgical resection is recommended to relieve the neurological manifestations of this disease. The surgeon should always suspect liposarcoma first before voluminous, atypical, or recurrent tumors are considered.
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