Compression of the Palmar Digital Nerve of the Index Finger by a  Lipoma: A Case Report

SBAI. MA; BOUZOUAYA. H; BELLILA. S; MAHFOUDHI. S; BITRI. R; SBEI. F; MAALLA. R

doi:10.9734/ajcrs/2025/v8i1627

Research Article Open access CC BY 4.0

Compression of the Palmar Digital Nerve of the Index Finger by a Lipoma: A Case Report

SBAI. MA, BOUZOUAYA. H, BELLILA. S, MAHFOUDHI. S, BITRI. R, SBEI. F, MAALLA. R

Asian Journal of Case Reports in Surgery · pp. 221–226 · Published 5 May 2025

10.9734/ajcrs/2025/v8i1627

Abstract

Lipomas are common benign soft tissue tumors but are rare in the hand. Hand lipomas are typically asymptomatic; however, in some cases, compression of peripheral nerves such as the median nerve or its branches can lead to pain and neurological symptoms. The intricate anatomy of the hand makes the surgical treatment of tumors in this region particularly challenging. The treatment of choice is surgical excision, which is associated with a low recurrence rate. We present a case of a palmar lipoma located in the thenar region, resulting in compression of the palmar digital nerve of the index finger. The patient experienced clinically significant paresthesia of the index finger suggestive of carpal tunnel syndrome. Complete surgical excision led to resolution of symptoms.

Lipoma index finger nerve compression hand surgery

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SBAI. MA, BOUZOUAYA. H, BELLILA. S, MAHFOUDHI. S, BITRI. R, SBEI. F, MAALLA. R (2025). Compression of the Palmar Digital Nerve of the Index Finger by a Lipoma: A Case Report. Asian Journal of Case Reports in Surgery , 221–226. https://doi.org/10.9734/ajcrs/2025/v8i1627

Affiliations

SBAI. MA — Department of Plastic and Reconstructive and Aesthetic Surgery, MT Maamouri Hospital, Nabeul, Tunisia.
BOUZOUAYA. H — Department of Plastic and Reconstructive and Aesthetic Surgery, MT Maamouri Hospital, Nabeul, Tunisia.
BELLILA. S — Department of Plastic and Reconstructive and Aesthetic Surgery, MT Maamouri Hospital, Nabeul, Tunisia.
MAHFOUDHI. S — Department of Emergency, MT Maamouri Hospital, Nabeul, Tunisia.
BITRI. R — Department of Plastic and Reconstructive and Aesthetic Surgery, MT Maamouri Hospital, Nabeul, Tunisia.
SBEI. F — Department of Emergency, MT Maamouri Hospital, Nabeul, Tunisia.
MAALLA. R — Department of Plastic Surgery, La Rabta Hospital, Tunis, Tunisia.

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