Lipofibromatous Hamartoma of the Median Nerve in a Child

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.