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Bilateral snapping triceps syndrome: A case report.

Chul-Hyun Cho1, Kyung-Hwan Lim2, Du-Han Kim3

  • 1Department of Orthopedic Surgery, Keimyung University Dongsan Hospital, Keimyung University School of Medicine, Daegu 42601, South Korea.

World Journal of Clinical Cases
|December 22, 2023
PubMed
Summary
This summary is machine-generated.

Bilateral snapping triceps syndrome (STS) is rare, especially in young athletes. This case highlights its diagnosis and successful surgical treatment in a 23-year-old male, resolving elbow pain and snapping.

Keywords:
Case reportDynamic sonographyElbowTricepsTriceps snapping syndromeUlnar nerve

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Diagnostic Imaging

Background:

  • Snapping triceps syndrome (STS) is a rare condition.
  • Bilateral occurrence is exceptionally rare, often involving ulnar nerve dislocation.
  • No prior reports exist for bilateral STS in young, active individuals.

Observation:

  • A 23-year-old male reported bilateral medial elbow discomfort and snapping during exertion.
  • Physical exam revealed two distinct, audible, and palpable snaps.
  • Dynamic ultrasonography confirmed anterior dislocation of the ulnar nerve and medial triceps head over the medial epicondyle during flexion.

Findings:

  • The patient was diagnosed with bilateral snapping triceps syndrome and ulnar nerve dislocation.
  • Surgical intervention included ulnar nerve transposition and partial triceps resection.
  • Immediate resolution of pain and snapping symptoms post-surgery.

Implications:

  • STS should be considered in young, active patients with medial elbow snapping and pain.
  • Dynamic sonography is crucial for diagnosing STS and differentiating it from isolated ulnar nerve dislocation.
  • Surgical management offers effective relief and return to activity.