This case highlights the successful surgical management of a hypothenar lipoma with ulnar nerve involvement, suggesting effective strategies for recovery.
Lipomas of the hand are rare, particularly in the hypothenar region. We present a case of a 43-year-old male patient with a slow-growing, painless mass in the right hypothenar area causing intermittent tingling and paresthesia in the ulnar nerve distribution. Magnetic resonance imaging (MRI) confirmed a lipomatous lesion. Surgical excision revealed the mass adherent to the superficial branch of the ulnar nerve. Histopathology confirmed a benign lipoma. The patient experienced complete sensory recovery six months postoperatively, with no recurrence. This report discusses the importance of early diagnosis and nerve-sparing excision in hypothenar lipomas.
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Elsakka et al. (2025) studied this question.
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