A case of cavernous hemangiomatosis involving 11 tendon sheath of flexors and median nerve of the right forearm is reported.
This case was a 22 year old Korean male who complained of painful swelling of the flexor side of
right wrist region, limited motion of wrist joint, loss of pinching and opposition with tingling sensation on the admission. Roentgenographic examination revealed fusiform swelling of the soft tissues in flexor aspect of the right wrist region, with phlebolith, 3mm. in diameter.
The tumor mass looked like strawberry in shape, and was scattered into all tendon sheath of flexors of the forearm, median nerve, the distal half of pronator quadrtus and other surrounding soft tissues.
The specimen was confirmed. as cavernous hema gioma in microscopic examination.
The right long arm splint was applied for 3 weeks, and then the patient was treated with physical therapy for 4 months.
Pinching, opposition, and motion of the right wrist joint recovered almost completely, and no evidence of the recurrence of hemangiomatosis was seen until 8 months after surgery.
|