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말초 신경병증을 초래한 건초주위 지방종

Lipoma of the Tendon Sheath that Caused Peripheral Neuropathy

  • 김세희 (가톨릭대학교 의과대학 인천성모병원 재활의학교실) ;
  • 이용석 (가톨릭대학교 의과대학 인천성모병원 정형외과학교실) ;
  • 김재민 (가톨릭대학교 의과대학 인천성모병원 재활의학교실)
  • Kim, Sehee (Department of Rehabilitation Medicine, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Lee, Yong-Suk (Department of Orthopedic Surgery, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Kim, Jae Min (Department of Rehabilitation Medicine, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea)
  • 투고 : 2020.07.26
  • 심사 : 2020.10.03
  • 발행 : 2021.06.30

초록

In this case report, we present a rare case of lipoma of the tendon sheath localized to the wrist which caused median entrapment neuropathy and was successfully treated with surgical excision. Dynamic examination using ultrasonography revealed the exact location of the lipoma. Electrodiagnostic study (EDX) was done before surgery to elucidate combined neuropathy, and surgery for ulnar neuropathy around elbow was also performed simultaneously. Diagnostic ultrasound can be used for dynamic examinations with real-time visualization.

키워드

참고문헌

  1. Gurich RW Jr, Pappas ND. Lipoma of the Tendon Sheath in the Fourth Extensor Compartment of the Hand. Am J Orthop (Belle Mead NJ) 2015; 44: 561-562
  2. Fazilleau F, Williams T, Richou J, Sauleau V, Le Nen D. Median nerve compression in carpal tunnel caused by a giant lipoma. Case Rep Orthop 2014; 2014: 654934
  3. Vasudevan JM, Freedman MK, Beredjiklian PK, Deluca PF, Nazarian LN. Common peroneal entrapment neuropathy secondary to a popliteal lipoma: ultrasound superior to magnetic resonance imaging for diagnosis. PM R 2011; 3: 274-279 https://doi.org/10.1016/j.pmrj.2010.09.014
  4. Chronopoulos E, Nikolaos P, Karanikas C, Kalliakmanis A, Plessas S, Neofytou I, et al. Patient presenting with lipoma of the index finger: a case report. Cases J 2010; 3: 20 https://doi.org/10.1186/1757-1626-3-20
  5. Ergun T, Lakadamyali H, Derincek A, Tarhan NC, Ozturk A. Magnetic resonance imaging in the visualization of benign tumors and tumor-like lesions of hand and wrist. Curr Probl Diagn Radiol 2010; 39: 1-16 https://doi.org/10.1067/j.cpradiol.2009.01.002
  6. Capelastegui A, Astigarraga E, Fernandez-Canton G, Saralegui I, Larena JA, Merino A. Masses and pseudomasses of the hand and wrist: MR findings in 134 cases. Skeletal Radiol 1999; 28: 498-507 https://doi.org/10.1007/s002560050553
  7. Babins DM, Lubahn JD. Palmar lipomas associated with compression of the median nerve. J Bone Joint Surg Am 1994; 76: 1360-1362 https://doi.org/10.2106/00004623-199409000-00010