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Bilateral snapping triceps syndrome: A case report

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Author(s)
Chul-Hyun ChoKyung-Hwan LimDu-Han Kim
Keimyung Author(s)
Cho, Chul HyunKim, Du Han
Department
Dept. of Orthopedic Surgery (정형외과학)
Journal Title
World J Clin Cases
Issued Date
2023
Volume
11
Issue
34
Keyword
Case reportDynamic sonographyElbowTricepsTriceps snapping syndromeUlnar nerve
Abstract
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.
Keimyung Author(s)(Kor)
조철현
김두한
Publisher
School of Medicine (의과대학)
Type
Article
ISSN
2307-8960
Source
https://www.wjgnet.com/2307-8960/full/v11/i34/8228.htm
DOI
10.12998/wjcc.v11.i34.8228
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/45592
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학)
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