Dear Sir, A lipoma is a benign slow-growing tumour that is usually subcutaneous. A deep lipoma at the elbow may cause compression of the posterior interosseous nerve, leading to weakness of extension of digits, and/or compression of the superficial division of the radial nerve, leading to paraesthesia (Bieber et al., 1986; Fitzgerald et al., 2002; Lidor et al., 1992). We report eight patients who had a lipoma at the elbow, two male and six female, with a mean age of 54.6 years (range, 26 to 75 years). Three patients had palsy, one of which was accompanied by paraesthesia in the radial half of the dorsum of the hand. Four patients had paraesthesia without palsy. The mean duration of symptoms to surgery was 12.7 (range, 1 to 24) months. One case had no neurological symptoms. All had surgery through an anterior approach. The compression of the posterior interosseous nerve and the superficial division of the radial nerve were recorded.
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