CASE REPORT


Median Nerve Schwannoma of the Hand and Wrist: 3 Cases



Konstantinos C Xarchas1, *, Georgios Kyriakopoulos1, Maria Vlachou1, Spyros Manthas1
1 Department of Orthopaedics, Athens General Hospital G. Gennimatas, Athens, Greece


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Creative Commons License
© 2019 Xarchas et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at Department of Orthopaedics, Athens General Hospital G. Gennimatas, 154, PC 11527, Athens, Greece;
Tel: 00302107768507,00302132032507; E-mail: drkcxr@yahoo.com,


Abstract

Tumors of the median nerve are difficult to diagnose and median nerve schwannomas are rare. During a ten-year period, we treated eleven median nerve schwannomas found on the hand (nine) and wrist (two). All the tumors were treated by enucleation under loupe magnification and tourniquet application. All had a favorable result at a mean follow up of five years. We present three of our most typical cases, with schwannomas found on the wrist, palm and thumb. We also review the literature offering a wider view on the pathology, diagnosis and treatment of schwannomas in general.

Keywords: Median, Nerve, Tumor, Neurilemmoma, Schwannoma, Case series, Benign.