Lipofibromatous Hamartoma of the Median Nerve in a Child

Mohd Mir Altaf; Taruna Singh; Rahul Kaushik; Jaya Jain; Manjit Kaur Rana; Arvinder Wander

doi:10.1097/SAP.0000000000004375

Lipofibromatous Hamartoma of the Median Nerve in a Child

Ann Plast Surg. 2025 Apr 25. doi: 10.1097/SAP.0000000000004375. Online ahead of print.

Authors

Mohd Mir Altaf¹, Taruna Singh¹, Rahul Kaushik¹, Jaya Jain², Manjit Kaur Rana³, Arvinder Wander⁴

Affiliations

¹ From the Department of Burns & Plastic Surgery.
² Pathology.
³ Pediatrics.
⁴ Paediatrics, AIIMS Bathinda, Punjab, India.

PMID: 40577104
DOI: 10.1097/SAP.0000000000004375

Abstract

Lipofibromatous hamartoma (LFH) is characterized by the infiltration of mature adipose tissue and fibrous elements along the course of the median nerve, leading to gradual compression and distortion of the nerve fibers. In our case, the median nerve was involved in an LFH tumor in an 8-year-old male child. After a comprehensive clinical evaluation, radiological findings, and histopathological examination, the patient underwent resection of LFH with dissection and resection of the median nerve and its digital branches, followed by sural nerve cable grafting. The patient had a full functional recovery of hand in 8 months. Till now, only 3 cases of LFH have been reported in children below 10 years of age.Both the surgical team and the patient were satisfied with the postoperative outcome.

Keywords: lipomatous fibromatous hamartoma; median nerve; sural nerve graft, pediatric.