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The palmaris longus muscle is considered one of the most anatomically variable muscles in the human body. Localized swelling of the forearm due to hypertrophy of the palmaris longus muscle is rare. Here, we report a rare case of a 24-year-old Arab man who presented with a painful mass on his forearm with symptoms of median nerve compression. A full radiological assessment was performed, and he was treated conservatively. This case confirmed that a hypertrophied palmaris longus muscle can be thedoi:10.1186/s13256-020-02368-y pmid:32450910 fatcat:yq4bngcxrjb7vplvwfat3htuiu