case_images: PMC10798274_01
case_images: Recurrent lipoma as presented during physical examination.
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case_images: Physical examination revealed a palpable mass with a diameter of approximately 5 cm extending from the wrist to the base of the left hypothenar eminence (Figure 1).
case_images: Ultrasound cross-section of the lipoma.
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case_images: Ultrasound examination in June 2021 at our clinic revealed a homogenous mass measuring about 6 x 3 x 1.5 cm without increased vascularization, iso-echoic to the surrounding subcutaneous fatty tissue (Figure 2).
case_images: Intra-operative photographs of lipoma recurrence.
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case_images: The surgical approach involved a new incision was made in along the length of the wrist, as in opening both the carpal tunnel surgeries, and proceeded diagonally towards Guyon's canal to remove the lipoma to ensure a comprehensive view of the lipoma for proper extraction (Figure 3).
case_images: Two weeks post-operative showing the chosen incision.
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case_images: At the initial follow-up, the patient had diminished flexion of the fingers and dorsiflexion of the wrist due to scar tissue from the excision and post-operative swelling and immobilization (Figure 4).
case_images: Status 6 months post-op with silicone treatment of scar-tissue. (right) Slight limitation of end range of motion of flexion of the fourth digit.
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case_images: At six months post-op, the patient had achieved 20 degrees wrist extension with the help of silicone treatment of the scar tissue (Figure 5).