Pinci Marcantonio V, Olivella Gerardo, Rodríguez Manuel, Hess-Arcelay Hans W, Ramírez Norman, Foy-Parilla Christian
Orthopaedic Surgery Department University of Puerto Rico, Medical Sciences Campus San Juan, San Juan 00936-5067, Puerto Rico.
Pediatric Orthopaedic Surgery Department, Mayagüez Medical Center, Mayagüez 00681, Puerto Rico.
J Surg Case Rep. 2020 Oct 31;2020(10):rjaa418. doi: 10.1093/jscr/rjaa418. eCollection 2020 Oct.
This is a rare case of a 42-year-old Hispanic male with macrodactyly who presented with recurrent carpal tunnel syndrome (CTS) due to Lipofibromatous Hamartoma (LFH). A slowly growing mass in his right palm with pain and numbness, along with motor and sensory deficits in the median nerve distribution, was reported since the past year prior to visit. Previous open carpal tunnel release was performed at 16 years of age due to CTS without complications. The diagnosis of LFH was made based on ultrasound, electromyography test and physical examination. An extended open carpal tunnel release with transection of transverse ligament was performed. The 24-month postoperative evaluation showed complete resolution of symptoms. This report illustrates the management of a recurrent CTS due to LFH in a Hispanic adult patient with macrodactyly that was successfully treated with a carpal tunnel decompression.
这是一例罕见的42岁西班牙裔男性巨指症患者，因脂肪纤维瘤性错构瘤（LFH）出现复发性腕管综合征（CTS）。自就诊前一年起，他的右手掌出现一个缓慢生长的肿块，伴有疼痛和麻木，同时正中神经分布区域存在运动和感觉功能障碍。患者16岁时曾因CTS接受过开放性腕管松解术，未出现并发症。LFH的诊断基于超声、肌电图检查和体格检查。实施了开放性腕管延长松解术并横断横韧带。术后24个月的评估显示症状完全缓解。本报告阐述了一名患有巨指症的西班牙裔成年患者因LFH导致复发性CTS的治疗情况，通过腕管减压术成功治愈。
