Pfister G, Barbier O, Ollat D
Service de chirurgie orthopédique, hôpital d'instruction des armées Bégin, 69, avenue de Paris, 94160 Saint-Mandé, France.
Service de chirurgie orthopédique, institut mutualiste Montsouris, 42, boulevard Jourdan, 75014 Paris, France.
Hand Surg Rehabil. 2018 Apr;37(2):121-123. doi: 10.1016/j.hansur.2017.12.002. Epub 2018 Feb 1.
Snapping triceps corresponds to subluxation of the medial head of the triceps brachii over the medial epicondyle during active elbow flexion. It is a rare and misleading condition that is often associated with ulnar nerve instability. The latter can result in the snapping triceps being missed. Diagnosis requires a detailed clinical examination. Surgical treatment consists of anterior translocation of the nerve with an adipose flap to stabilize it and transfer of the distal attachment of the medial head of triceps brachii.
肱三头肌弹响是指在主动屈肘时肱三头肌内侧头在内侧髁上半脱位。这是一种罕见且易误诊的病症,常与尺神经不稳定相关。后者可能导致漏诊肱三头肌弹响。诊断需要详细的临床检查。手术治疗包括将神经带脂肪瓣向前移位以稳定神经,以及转移肱三头肌内侧头的远端附着点。