{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T14:37:00Z","timestamp":1740148620872,"version":"3.37.3"},"reference-count":10,"publisher":"Georg Thieme Verlag KG","issue":"02","license":[{"start":{"date-parts":[[2021,4,19]],"date-time":"2021-04-19T00:00:00Z","timestamp":1618790400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ortop (Sao Paulo)"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>Os lipomas s\u00e3o os tumores de partes moles mais comuns no corpo humano, mas sua localiza\u00e7\u00e3o na m\u00e3o \u00e9 rara. Os lipomas de m\u00e3o que causam sintomas por compress\u00e3o do nervo s\u00e3o ainda mais raros. Apresentamos um caso de neuropatia do nervo mediano decorrente de um lipoma palmar gigante, localizado nas regi\u00f5es tenar e hipotenar da m\u00e3o. A paciente apresentava sintomas t\u00edpicos de s\u00edndrome do t\u00fanel do carpo, al\u00e9m de comprometimento dos movimentos do polegar. Durante a cirurgia, o ramo motor recorrente do nervo mediano repousava sobre o lipoma sob grande tens\u00e3o. Esta localiza\u00e7\u00e3o particular do ramo motor do nervo mediano em rela\u00e7\u00e3o ao lipoma torna este caso \u00fanico. O tumor foi extirpado, protegendo as estruturas neurovasculares e, poucas semanas depois, a paciente havia recuperado totalmente os movimentos do polegar e for\u00e7a de preens\u00e3o, al\u00e9m de apresentar resolu\u00e7\u00e3o da disestesia.<\/jats:p>","DOI":"10.1055\/s-0041-1726072","type":"journal-article","created":{"date-parts":[[2021,4,19]],"date-time":"2021-04-19T23:00:45Z","timestamp":1618873245000},"page":"e323-e326","source":"Crossref","is-referenced-by-count":0,"title":["Neuropatia sensorial e motora do nervo mediano por um lipoma gigante na m\u00e3o: Relato de caso"],"prefix":"10.1055","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6286-2368","authenticated-orcid":false,"given":"Ioannis M.","family":"Stavrakakis","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia, General Hospital of Agios Nikolaos, Creta, Gr\u00e9cia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vasiliki","family":"Georgopoulou","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia, General Hospital of Agios Nikolaos, Creta, Gr\u00e9cia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2649-9105","authenticated-orcid":false,"given":"George E.","family":"Magarakis","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia, Venizeleio General Hospital of Heraklion, Creta, Gr\u00e9cia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria S.","family":"Katsafarou","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia, General Hospital of Agios Nikolaos, Creta, Gr\u00e9cia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,4,19]]},"reference":[{"issue":"02","key":"ref1","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1007\/s11552-008-9157-4","article-title":"Giant lipoma of the thenar--case study and contemporary approach to its aetiopathogenicity","volume":"4","author":"T B Grivas","year":"2009","journal-title":"Hand (N Y)"},{"key":"ref2","first-page":"654934","article-title":"Median nerve compression in carpal tunnel caused by a giant lipoma","volume":"2014","author":"F Fazilleau","year":"2014","journal-title":"Case Rep Orthop"},{"key":"ref3","first-page":"e66","article-title":"Lipomas of the hand: a review and 13 patient case series","volume":"10","author":"M M Nadar","year":"2010","journal-title":"Eplasty"},{"issue":"03","key":"ref4","first-page":"46","article-title":"Case report: Giant lipoma of the hand","volume":"12","author":"L Lisenda","year":"2013","journal-title":"SA Orthop J"},{"issue":"05","key":"ref5","first-page":"612","article-title":"Giant palmar lipoma - an unusual cause of carpal tunnel syndrome","volume":"52","author":"G Ribeiro","year":"2017","journal-title":"Rev Bras Ortop"},{"issue":"09","key":"ref6","doi-asserted-by":"crossref","first-page":"1360","DOI":"10.2106\/00004623-199409000-00010","article-title":"Palmar lipomas associated with compression of the median nerve","volume":"76","author":"D M Babins","year":"1994","journal-title":"J Bone Joint Surg Am"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1016\/j.ijscr.2016.06.036","article-title":"Case report: A rare presentation of Giant palmar lipoma","volume":"26","author":"V Singh","year":"2016","journal-title":"Int J Surg Case Rep"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"552","DOI":"10.1186\/1752-1947-5-552","article-title":"Complications arising from a misdiagnosed giant lipoma of the hand and palm: a case report","volume":"5","author":"T Pagonis","year":"2011","journal-title":"J Med Case Reports"},{"issue":"01","key":"ref9","doi-asserted-by":"crossref","first-page":"19","DOI":"10.15746\/sms.20.005","article-title":"Sung-Il Hwang. 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