Abstract

MORALES, C.; LOPEZ MENDOZA, J.; GARGOLLO ORVANANOS, C.  and  JIMENEZ, Y.. Hand lipoma, surgical and clinically an understimated tumor. Cir. plást. iberolatinoam. [online]. 2011, vol.37, n.4, pp.349-353. ISSN 1989-2055.  https://dx.doi.org/10.4321/S0376-78922011000400006.

Lipomas account for the 16 % of all the soft tissue hand tumors. Their clinical presentation is particular, due to the anatomical and functional complexity of the hand. We analyze 14 patients with the clinical diagnosis of hand lipoma, 64.3 % female, with medium age 44.1 years old. The localization was: digital flexor sheath 33.3 %, midpalmar (thenar muscles mainly) 40 %, dorsal wrist (including interosseus muscle) 20 % and antebrachial 6.7 %. The decrease in hand or wrist function was the main symptom (66.7 %). The functional impairments include: trigger finger, flexion and grip impairment, followed by pain, sensitivity alterations and cosmesis in 26.7 %. The carpal tunnel syndrome presented in 20 %. The surgical excision solved the symptoms in all cases. The mean follow-up was 15.8 months. None recurrence was observed and only 1 minor complication presented. We used an image study to make the diagnosis in 1 case, having a clinical diagnosis accuracy of 93 %.

Keywords : Lipoma; Soft tissue tumor; Hand surgery.

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