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脂肪瘤同时压迫正中神经和尺神经:一例报告并文献复习

The Simultaneous Compression of the Median and Ulnar Nerves by Lipoma: A Case Report and Review of the Literature.

作者信息

Hamdi Mohamed Faouzi, Msek Hichem

机构信息

Plastic Surgery Unit, Fattouma Bourguiba University Hospital, Monastir, TUN.

出版信息

Cureus. 2024 Apr 30;16(4):e59340. doi: 10.7759/cureus.59340. eCollection 2024 Apr.

Abstract

Entrapment syndromes in the hand are very common and usually idiopathic. However, it can be the expression of nerve compression by a nearby structure or tumor. Space-occupying lesions are widely reported as a cause of median or ulnar nerve compression in the wrist. Nevertheless, a simultaneous compression of the median and ulnar nerves by a tumor is a rare condition. To the best of our knowledge, only three cases are described in the English literature. Herein, we present a case of a simultaneous compression in the wrist of the median and ulnar nerves by lipoma in a 79-year-old patient while also elucidating the reasons for the rarity of this condition and reviewing its clinical and therapeutic particularities.

摘要

手部卡压综合征非常常见,通常为特发性。然而,它也可能是附近结构或肿瘤压迫神经的表现。占位性病变被广泛报道为腕部正中神经或尺神经受压的原因。然而,肿瘤同时压迫正中神经和尺神经的情况较为罕见。据我们所知,英文文献中仅描述了三例。在此,我们报告一例79岁患者因脂肪瘤同时压迫腕部正中神经和尺神经的病例,并阐明这种情况罕见的原因,同时回顾其临床和治疗特点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0980/11137677/3912e696c6fd/cureus-0016-00000059340-i01.jpg

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