Skip to main content
SpringerLink
Log in

Lipofibromatous hamartoma of the digital nerve without macrodactyly: follow-up of an unusual case

  • Case Report
  • Published:
European Journal of Plastic Surgery Aims and scope Submit manuscript

Abstract

Lipofibromatous hamartoma (LFH) of nerve is a rare benign, tumour-like fibro-fatty malformation of the epi- and perineurium. Major peripheral nerves of the upper extremity are mostly involved, most commonly the median nerve and its branches. Although there is a relatively large number of publications on LFH, involvement of digital nerves is rarely reported or described. A case of LFH involving the digital ulnar nerve of the index finger without macrodactyly is presented; the aetiology, pathogenesis, differential diagnosis and surgical management are described.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8
Fig. 9

References

  1. Silverman TA, Enzinger FM (1985) Fibrolipomatous hamartoma of nerve. A clinicopathologic analysis of 26 cases. Am J Surg Pathol 9:7–14

    Article  CAS  PubMed  Google Scholar 

  2. Mikhail IK (1964) Median nerve lipoma in the hand. J Bone Jnt Surg Br 46:726–730

    CAS  Google Scholar 

  3. Pulvertaft RG (1964) Unusual tumours of the median nerve. J Bone Jnt Surg Br 46:731–733

    CAS  Google Scholar 

  4. Yeoman PM (1964) Fatty infiltration of the median nerve. J Bone Jnt Surg Br 46:737–739

    CAS  Google Scholar 

  5. Johnson RJ, Bongiglio M (1969) Lipofibromatous hamartoma of the median nerve. J Bone Jnt Surg Am 51:984–990

    CAS  Google Scholar 

  6. Terzis JK, Daniel RK, Williams HB, Spencer PS (1978) Benign fatty tumors of the peripheral nerves. Ann Plast Surg 1(2):193–216

    CAS  PubMed  Google Scholar 

  7. Ogose A, Hotta T, Higuchi T, Katsumi N, Koda H, Umezu H (2002) Fibrolipomatous hamartoma in the foot: magnetic resonance imaging and surgical treatment: a report of two cases. J Bone Jnt Surg Am 84:432–436

    Google Scholar 

  8. Paletta FX, Rybka FJ (1972) Treatment of hamartomas of the median nerve. Ann Surg 176(2):217–222

    Article  CAS  PubMed  Google Scholar 

  9. Steentoft J, Sollerman C (1990) Lipofibromatous hamartoma of a digital nerve, a case report. Acta Orthop Scand 61(2):181–182

    Article  CAS  PubMed  Google Scholar 

  10. Jung SN, Yim Y, Kwon H (2005) Systemic lipofibromatous hamartoma a affecting digital nerve. Yonsei Med J 46:169–172

    Article  PubMed  Google Scholar 

  11. Tsuge K, Ikuta Y (1973) Macrodactyly and fibro-fatty of the median nerve. Hiroshima J Med S 22(1):83–101

    CAS  Google Scholar 

  12. Razzaghi A, Anastakis DJ (2005) Lipofibromatous hamartoma: review of early diagnosis and treatment. J Can Chir 48(5):394–399

    Google Scholar 

  13. Barsky AJ (1967) Macrodactyly. J Bone Jnt Surg Am 49:1255–1266

    CAS  Google Scholar 

  14. Kransdorf MJ, Moser RP Jr, Meis JM, Meyer CA (1991) Fat containing soft tissue masses of the extremities. Radiographics 11:81–106

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Plastic and Hand Surgery, Medical Centre Luedenscheid, Teaching Hospital of the University Bonn, Paulmannshöher Strasse 14, 58515, Luedenscheid, Germany

    Mostafa Ghahremani & Hadrian Schepler

Authors
  1. Mostafa Ghahremani
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Hadrian Schepler
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Mostafa Ghahremani.

Additional information

The authors did not receive grants or outside funding in support of their research or preparation of this manuscript. They did not receive payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution or other charitable or nonprofit organisation with which the authors are affiliated or associated.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Ghahremani, M., Schepler, H. Lipofibromatous hamartoma of the digital nerve without macrodactyly: follow-up of an unusual case. Eur J Plast Surg 32, 301–304 (2009). https://doi.org/10.1007/s00238-009-0345-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00238-009-0345-4

Keywords

Search

Navigation