{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:45:19Z","timestamp":1787755519184,"version":"build-2784847793"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>Lipofibromatous hamartoma (LFH) is a rare benign tumor of the peripheral nerves, which often affects upper extremity. There is no consensus regarding management of these lesions. We report a case of median nerve LFH in the volar forearm of a 24-year-old man with carpal tunnel syndrome symptoms. Clinically, the mass appeared tender to palpation, ill-defined and soft, located on the volar aspect of the left forearm. Open epineurotomy and neurolysis of the median nerve were performed with full recovery at 1 year.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Surgical approach may be resolutive in patients with large masses refractory to conservative treatment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.20.01022","type":"journal-article","created":{"date-parts":[[2021,4,29]],"date-time":"2021-04-29T15:00:05Z","timestamp":1619708405000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Surgical Treatment of a Voluminous Median Nerve Lipofibromatous Hamartoma Involving Distal Forearm"],"prefix":"10.2106","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3319-8231","authenticated-orcid":false,"given":"Stefano","family":"Pecchia","sequence":"first","affiliation":[{"name":"Hand and Foot Surgery Division, Orthopaedic Unit and Kirk Kilgour Sports Injury Centre, Sant'Andrea Hospital, University of Rome \u201cLa Sapienza,\u201d Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4924-5549","authenticated-orcid":false,"given":"Matteo","family":"Guzzini","sequence":"additional","affiliation":[{"name":"Hand and Foot Surgery Division, Orthopaedic Unit and Kirk Kilgour Sports Injury Centre, Sant'Andrea Hospital, University of Rome \u201cLa Sapienza,\u201d Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3568-3169","authenticated-orcid":false,"given":"Guido","family":"Koverech","sequence":"additional","affiliation":[{"name":"L. Parodi Delfino Hospital, Colleferro, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6546-7272","authenticated-orcid":false,"given":"Leopoldo","family":"Arioli","sequence":"additional","affiliation":[{"name":"Hand and Foot Surgery Division, Orthopaedic Unit and Kirk Kilgour Sports Injury Centre, Sant'Andrea Hospital, University of Rome \u201cLa Sapienza,\u201d Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2291-2345","authenticated-orcid":false,"given":"Valerio","family":"Andreozzi","sequence":"additional","affiliation":[{"name":"Hand and Foot Surgery Division, Orthopaedic Unit and Kirk Kilgour Sports Injury Centre, Sant'Andrea Hospital, University of Rome \u201cLa Sapienza,\u201d Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7022-5887","authenticated-orcid":false,"given":"Dario","family":"Perugia","sequence":"additional","affiliation":[{"name":"Hand and Foot Surgery Division, Orthopaedic Unit and Kirk Kilgour Sports Injury Centre, Sant'Andrea Hospital, University of Rome \u201cLa Sapienza,\u201d Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,4]]},"reference":[{"issue":"1","key":"bib1-20240809","first-page":"257","article-title":"Presentation of cases. Proceedings of the American Society of Surgery of the Hand","volume":"35A","author":"Mason","year":"1953","journal-title":"J Bone Joint Surg."},{"issue":"10","key":"bib2-20240809","doi-asserted-by":"crossref","first-page":"2055","DOI":"10.1016\/j.jhsa.2013.03.022","article-title":"Lipofibromatous hamartoma of the median nerve: a comprehensive review and systematic approach to evaluation, diagnosis, and treatment","volume":"38","author":"Tahiri","year":"2013","journal-title":"J Hand Surg Am."},{"issue":"1","key":"bib4-20240809","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1016\/0363-5023(88)90203-1","article-title":"Lipofibromatous hamartoma of nerve","volume":"13","author":"Amadio","year":"1988","journal-title":"J Hand Surg Am."},{"issue":"1","key":"bib5-20240809","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1097\/00000478-198501000-00004","article-title":"Fibrolipomatous hamartoma of nerve. A clinicopathologic analysis of 26 cases","volume":"9","author":"Silverman","year":"1985","journal-title":"Am J Surg Pathol."},{"key":"bib6-20240809","doi-asserted-by":"crossref","first-page":"587","DOI":"10.1016\/j.wneu.2019.04.110","article-title":"Surgical treatment of lipomatosis of nerve: a systematic review","volume":"128","author":"Marek","year":"2019","journal-title":"World Neurosurg."},{"issue":"2","key":"bib7-20240809","first-page":"152","article-title":"Fibrolipomatous hamartoma of the median nerve in the elbow: a case report","volume":"12","author":"Ha","year":"2012","journal-title":"Ochsner J."},{"key":"bib8-20240809","doi-asserted-by":"crossref","first-page":"805","DOI":"10.2214\/AJR.04.1717","article-title":"Lipofibromatous hamartoma of the upper extremity: a review of the radiologic findings for 15 patients","volume":"186","author":"Toms","year":"2006","journal-title":"Am J Roentgenol."},{"issue":"5","key":"bib9-20240809","first-page":"394","article-title":"Lipofibromatous hamartoma: review of early diagnosis and treatment","volume":"48","author":"Razzaghi","year":"2005","journal-title":"Can J Surg."},{"issue":"9","key":"bib10-20240809","first-page":"e5808","article-title":"Use of ultra-high-frequency ultrasound on diagnosis and management of lipofibromatous hamartoma: a technical report","volume":"11","author":"Boczar","year":"2019","journal-title":"Cureus."},{"issue":"3","key":"bib11-20240809","doi-asserted-by":"crossref","first-page":"393","DOI":"10.2106\/00004623-197961030-00014","article-title":"Lipofibroma of the median nerve in the palm and digits of the hand","volume":"61","author":"Patel","year":"1979","journal-title":"J Bone Joint Surg Am."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.20.01022","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:44:09Z","timestamp":1787751849000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.20.01022"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2021,4]]},"references-count":10,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.20.01022","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,4]]}}}