Eur J Plast Surg (2012) 35:905–907 DOI 10.1007/s00238-011-0610-1 CASE REPORT Compression of the median nerve by a subfascial lipoma in the distal forearm Shaheel Chummun & Ruchika Rajan & Jacob S. Manushakian Received: 17 December 2010 /Accepted: 21 June 2011 /Published online: 12 July 2011 Springer-Verlag 2011 Introduction distribution. Both Phalen's and Tinel's tests were positive. Incidentally, a small diffuse soft swelling, proximal to the The median nerve is most commonly compressed within wrist crease on the volar aspect of his forearm, was noted. the carpal tunnel and accounts for more that 50% of cases Conservative treatment in the form of steroid injection in . Less frequently, the median nerve can be compressed at the carpal tunnel was initially performed by the general the elbow and within the forearm . Common anatomical practitioner prior to referral to the unit, which failed to sites are Struthers's ligament , the pronator teres muscle, alleviate his symptoms. The patient subsequently under- the lacertus fibrosus and the arch of the flexor superficialis went decompression of the carpal tunnel and surgical . Rarer causes would include an accessory head of the exploration of the distal forearm under general anaesthesia flexor pollicis longus muscle 
European Journal of Plastic Surgery – Springer Journals
Published: Dec 1, 2012
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