[Surgical treatment of snapping triceps syndrome].

OBJECTIVE

Treatment of a persistently painful snapping triceps and possibly snapping ulnar nerve.

INDICATION

Snapping triceps.

CONTRAINDICATIONS

General surgical risks.

SURGICAL TECHNIQUE

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.

POSTOPERATIVE MANAGEMENT

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.

RESULTS

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.