Fibrolipoma of multiple nerves in the wrist

Pang HN, Puhaindran M, Yong FC
Correspondence: Dr Fok-Chuan Yong, fok_chuan_yong@ttsh.com.sg

ABSTRACT
We report fibrolipoma involving the median nerve, its palmar cutaneous branch as well as the ulnar nerve in the same hand of a 25-year-old woman. The patient presented with a lump in the wrist with signs of carpal tunnel syndrome. Multiple nerve involvement was detected on magnetic resonance imaging and further confirmed at surgical exploration and decompression. Imaging is recommended in the management of an unusual lump in the wrist.

Keywords: carpal tunnel syndrome, fibrolipoma, fibrolipomatous hamartoma, median nerve, ulnar nerve
Singapore Med J 2009; 50(8): e283-e286