# Lipofibromatous Hamartoma of the Superficial Peroneal Nerve with Significant Macrodactyly and Macrodystrophia Lipomatosa

## TL;DR

This case report describes a rare nerve tumor with significant hand enlargement and discusses its diagnosis and surgical management.

## Contribution

The paper highlights the challenges in managing lipofibromatous hamartoma with macrodystrophia and osseous overgrowth.

## Key findings

- The patient exhibited macrodactyly and extensive lipomatosis involving the superficial peroneal nerve.
- Surgical planning was complicated by osseous overgrowth and aesthetic concerns.
- The case contributes to understanding the disease spectrum and management strategies.

## Abstract

We report a rare presentation of lipofibromatous hamartoma involving the superficial peroneal nerve with significant macrodactyly in a woman in her late 40s, with a follow-up period of 3 years. We discuss the clinical presentation, distinguishing features, and the surgical technique chosen for maximum functional outcome, along with a review of the literature. This case report attempts to understand the spectrum of disease represented by lipofibromatous hamartoma, its nomenclature, diagnosis, and management depending on the extent of tissue involvement. In this case, as there was macrodystrophia with osseous overgrowth and extensive lipomatosis, the challenges involved in planning surgery for a desirable aesthetic and mechanical outcome have been discussed.