An Unusual Cause Of Acute Atraumatic Hip Pain

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An Unusual Cause Of Acute Atraumatic Hip Pain - Page #4

Working Diagnosis: Lipoma with cutaneous sensory nerve entrapment. Treatment: General surgery excised the lipoma. Outcome: One week post-surgically, his pain was greatly improved. By two weeks post-op, his pain had completely resolved. He was cleared to return to hunting without restrictions. Editor's Comments: Lipomas are a very common tumor but infrequently cause nerve compression symptoms. (3) The clinical picture is often similar to entrapment neuropathy. (1) Ultrasound imaging is useful to define the mass as a nonneural sheath origin tumor; MRI allows a better analysis of the relationship of the tumor with other structures. (1) Surgical treatment offers good outcomes in pain relief and neurological recovery. (1) References: 1) Flores LP and Carneiro JZ. Peripheral nerve compression secondary to adjacent lipomas. Surgical Neurology, 67(2007): 258-263. 2) Hazrati Y, Miller S, Moore S, Hausman M, Flatow E. Suprascapular Nerve Entrapment Secondary to a Lipoma. Clinical Orthopaedics and Related Research. 2003(411): pp. 124-128. 3) Beiber EJ, Moore JR, Weiland AJ. Lipomas Compressing the Radial Nerve at the Elbow. The Journal of Hand Surgery. July 1986; 11(4): 533-5. Return To The Case Studies List.		Back
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