case_images: PMC9826720_01
case_images: 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)
case_images: cureus-0015-00000033516-i01.jpg
case_images: PMC9826720_01_cureus-0015-00000033516-i01.jpg
case_images: FIG1
case_images: A physical examination of his right-hand revealed wasting of the thenar eminence and a tender swelling proximal to the wrist crease (Figure 1).
case_images: Intraoperative clinical photo showing the LFH tumor (arrows) and inflammation, edema, and perineural thickening with fibrosis of the median nerve. LFH - lipofibromatous hamartoma
case_images: cureus-0015-00000033516-i02.jpg
case_images: PMC9826720_01_cureus-0015-00000033516-i02.jpg
case_images: FIG2
case_images: Inflammation, edema, and perineural thickening with fibrosis are noticed in the affected median nerve portion (Figure 2).
case_images: Intraoperative clinical photo of the median nerve during the second surgery showing resolution of the signs of nerve inflammation after the decompression surgery
case_images: cureus-0015-00000033516-i03.jpg
case_images: PMC9826720_01_cureus-0015-00000033516-i03.jpg
case_images: FIG3
case_images: Five months later, median nerve exploration was performed, which showed the resolution of the previous signs of nerve irritation (Figure 3).
case_images: Intraoperative clinical photo showing pronator quadratus muscle local flap (arrow 1) and skin substitute (arrow 2) for median nerve coverage
case_images: cureus-0015-00000033516-i04.jpg
case_images: PMC9826720_01_cureus-0015-00000033516-i04.jpg
case_images: FIG4
case_images: Accordingly, another procedure was performed for proper nerve coverage (Figure 4).