Is there a relationship between Elastofibroma Dorsi and Dominant Hand Use?
Research Article
DOI:
https://doi.org/10.5281/zenodo.8352359Keywords:
Elastofibroma Dorsi, Chest Wall Tumors, Dominant Hand UseAbstract
Introduction: Elastofibroma Dorsi (ED) are benign tumors arising from the chest wall. Microtraumas caused by the scapula margo inferior due to arm use are blamed for its etiology.
Objectives: In our study, we aimed to evaluate the dimensional progression of the Elastofibroma Dorsi cases we operated and its relationship with dominant hand use.
Method: Patients who were diagnosed as ED between January 2018 and January 2023 were retrospectively evaluated in terms of age, gender, symptoms, side, job, recurrence, comorbidities, lesion sizes and complications. All patients were diagnosed radiologically by Magnetic Resonance imaging before the operation, and then a posterior thoracotomy incision was made in the suscapular area under general anesthesia at the prone position. Tight dressings were applied daily to prevent seroma and hematoma. If the drainage was below 25 mL/d, drains were removed.
Results: 31(83.2%) female and 6(16.2%) male patients with an average age of 57.81±7.50 were included in the study. 30 (81.1%) patients were housewives, 6 (16.2%) were manual workers and 1 (2.7%) was a teacher. 31 (83.8%) of the lesions were bilateral, 5 (13.5%) were right-sided, and 1 (2.7%) was left-sided. The dominant hand was right in 33 (89.2%) of the patients and left in 4 (10.8%). Symptoms were pain in 27 (73.0%) patients, swelling in 17 (45.9%) patients, and limitation of movement in 5 (13.5%) patients. 3 (8.1%) patients were re-operated due to recurrence. The median volume of right-sided masses was calculated as 171.5 cc (91.5-252.9) and the median volume of left-sided masses was 150.0 cc (55.8-229.3). No statistically significant difference was detected in the comparison between right and left dominant hand and mass volumes (p=0.942, p=0.361, respectively).
Conclusion: In our study, no relationship was found between ED size and dominant hand use. However, statistically significant majority of our patients with ED were workers using their hands. Different results can be obtained with studies with more cases.
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