PMC9826720_01
Clinical photograph showing the volar aspect of the right hand with a swelling proximal to the wrist crease and wasting of the thenar eminence (arrow)
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FIG1
A physical examination of his right-hand revealed wasting of the thenar eminence and a tender swelling proximal to the wrist crease (Figure 1).
Intraoperative clinical photo showing the LFH tumor (arrows) and inflammation, edema, and perineural thickening with fibrosis of the median nerve. LFH - lipofibromatous hamartoma
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FIG2
Inflammation, edema, and perineural thickening with fibrosis are noticed in the affected median nerve portion (Figure 2).
Intraoperative clinical photo of the median nerve during the second surgery showing resolution of the signs of nerve inflammation after the decompression surgery
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FIG3
Five months later, median nerve exploration was performed, which showed the resolution of the previous signs of nerve irritation (Figure 3).
Intraoperative clinical photo showing pronator quadratus muscle local flap (arrow 1) and skin substitute (arrow 2) for median nerve coverage
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FIG4
Accordingly, another procedure was performed for proper nerve coverage (Figure 4).