Ultrasound case report of a palmar lipoma causing carpal tunnel syndrome

Abstract

Ultrasound as an imaging technique is well established for the assessment of patients presenting with a palpable lump. Lipomata of the hand are relatively rare and are rarely the cause of neuropathy. Previous case reports of these rare types of lipomata have primarily involved imaging with magnetic resonance imaging in order to provide diagnostic information. This case report of a deep-seated lipoma of the flexor digitorum superficialis tendon sheath causing carpal tunnel syndrome and trigger wrist demonstrates that ultrasound can play a key role in the diagnosis and can provide vital diagnostic information for ongoing management and surgical resection without the need for further imaging.