Bilateral snapping triceps syndrome:A case report  

作　　者：Chul-Hyun Cho Kyung-Hwan Lim Du-Han Kim 

机构地区：[1]Department of Orthopedic Surgery,Keimyung University Dongsan Hospital,Keimyung University School of Medicine,Daegu 42601,South Korea [2]Orthopedic Surgery,Allright Hospital,Daegu 42038,South Korea

出　　处：《World Journal of Clinical Cases》2023年第34期8228-8234,共7页世界临床病例杂志

摘　　要：BACKGROUND Snapping triceps syndrome(STS)is a rare disease,while occurrence of bilateral STS is extremely rare.It is usually accompanied by dislocation of the ulnar nerve and double snapping is a clinically important feature.However,to the best of our knowledge,there has been no report of bilateral STS in young active patient.CASE SUMMARY A 23-year-old male presented with a complaint of discomfort and snapping on the medial side of both elbows while performing push-ups.On physical examination,two distinct snaps that were both palpable and audible were detected on additional clinical examination.Dynamic ultrasonography showed that the ulnar nerve and the medial head of the triceps were dislocated anteriorly over the medial epicondyle of the elbow during flexion motion.Finally,he was diagnosed as dislocation of the ulnar nerve and STS.Staged anterior subcutaneous transposition of the ulnar nerve combined with partial resection of the snapping portion of the triceps was performed.The patient’s pain and snapping symptoms were resolved immediately after surgery.Three months later,the patient was completely asymptomatic and returned to normal activity.CONCLUSION STS should be included in the differential diagnosis for active young patients who present with painful snapping on the medial side of the elbow joint,particularly when dislocation of the ulnar nerve is detected.Dynamic sonography is used to assist in accurate diagnosis and differentiation between isolated dislocation of the ulnar nerve and STS.

关 键 词：TRICEPS Triceps snapping syndrome Ulnar nerve ELBOW Dynamic sonography Case report 

分 类 号：R614[医药卫生—麻醉学] R736.6[医药卫生—外科学]