Schoch C, Geyer M
St. Vinzenz Klinik Pfronten, Kirchenweg 15, 87459, Pfronten im Allgäu, Deutschland.
Oper Orthop Traumatol. 2020 Apr;32(2):171-178. doi: 10.1007/s00064-019-00635-w. Epub 2019 Nov 5.
Treatment of a persistently painful snapping triceps and possibly snapping ulnar nerve.
Snapping triceps.
General surgical risks.
Following the anterior transposition of the ulnar nerve (subcutaneously or submuscular), the snapping portion of the triceps tendon is transsected and reinforced, and transposition of the medial triceps margin into the central triceps portion is carried out.
Cast for 5-7 days; for a total of 6 weeks functional exercise without maximum flexion and resistance exercise of the triceps. Weight loading after 3 months.
In the case presented, complaints were absent after 3 months. Full load exercise, e.g., push-ups, was achieved 4 months after surgery. There was no recurrent snapping within the first year. The results of this case are in agreement with the 25 patients previously reported in the PubMed literature. Recurrence, gross restrictions of movement, and complications were not observed in patients who underwent surgery.
治疗持续性疼痛的弹响肱三头肌以及可能存在的弹响尺神经。
肱三头肌弹响。
一般手术风险。
在尺神经进行皮下或肌下前置术后，将肱三头肌腱的弹响部分切断并加强，同时将肱三头肌内侧边缘转位至肱三头肌中央部分。
石膏固定5 - 7天；总共6周进行功能锻炼，但肱三头肌不进行最大程度屈曲和抗阻锻炼。3个月后开始负重。
在本病例中，3个月后症状消失。术后4个月可进行如俯卧撑等全负荷锻炼。第一年未出现复发性弹响。本病例结果与之前PubMed文献报道的25例患者一致。接受手术的患者未观察到复发、严重运动受限及并发症。
