연부조직 연골종에 의한 정중, 척골 포착신경병증: 증례 보고Entrapment Neuropathy of Median and Ulnar Nerve Due to Soft Tissue Chondroma: A Case Report
- Other Titles
- Entrapment Neuropathy of Median and Ulnar Nerve Due to Soft Tissue Chondroma: A Case Report
- Authors
- 홍성택; 안덕선
- Issue Date
- 2010
- Publisher
- 대한성형외과학회
- Keywords
- Soft tissue chondroma; Median Nerve Entrapment Neuropathy; Ulnar Nerve Entrapment Neuropathy
- Citation
- Archives of Plastic Surgery, v.37, no.6, pp.815 - 818
- Indexed
- KCI
- Journal Title
- Archives of Plastic Surgery
- Volume
- 37
- Number
- 6
- Start Page
- 815
- End Page
- 818
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/117738
- ISSN
- 2234-6163
- Abstract
- Purpose: Soft tissue chondroma is a rare benign tumor, found mainly on the palm and sole and grows slowly. Typically, mature hyaline cartilage is the dominant pathological feature. There are reports that assert soft tissue chondromas to be a cause of median nerve entrapment syndrome. However, this is the first case report showing soft tissue chondroma to be a cause of simultaneous median and ulnar neuropathy.
Methods: A 62 – year - old woman presented with chief complaints of numbness and hypoesthesia of her right palm of four to five years duration, and a palpable mass on her right palm that had been increasing in size slowly for three years. Physical examination revealed a firm, mobile, non - tender and about 3 × 3 ㎠ sized mass in the center of the right palm. Electromyography showed entrapment neuropathy of the median and ulnar nerve. Ultrasonography showed an approximately 5.7 ㎠ mass below the flexor tendon of ring finger. Upon surgical excision, a 3 × 3㎠ mass attached to the flexor digitorum profundus of ring finger and redness and hypertrophy of both the median and ulnar nerve were discovered. Mass excision was performed gently and the specimen referred for histopathologic study. Mass excision resulted in median and ulnar nerve release.
Results: The pathology report confirmed the mass to be a soft tissue chondroma with mature hyaline cartilage. The patient exhibited post - operative improvement of her symptoms and did not show any complications.
Conclusion: This is the first case report showing soft tissue chondroma to be a cause of simultaneous median and ulnar neuropathy.
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Collections - College of Medicine > Department of Medical Science > 1. Journal Articles
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