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. 2015:2015:903690.
doi: 10.1155/2015/903690. Epub 2015 Aug 20.

Simultaneous Bilateral Rupture of the Triceps Tendon in a Renal Transplant Patient

Ezequiel E Zaidenberg  1 , Gerardo L Gallucci  1 , Jorge G Boretto  1 , Pablo De Carli  1
Affiliations

Simultaneous Bilateral Rupture of the Triceps Tendon in a Renal Transplant Patient

Ezequiel E Zaidenberg et al. Case Rep Orthop. 2015.

Abstract

The unilateral rupture of the triceps brachii tendon is a rare lesion representing 1% of all tendon injuries. The most common causes are the result of a contraction against resistance (especially weightlifters) and direct trauma. It has also been associated with systemic diseases such as diabetes mellitus, chronic renal failure, secondary hyperparathyroidism, and use of systemic corticosteroids. Simultaneous bilateral rupture of the triceps tendons is less frequent and has been described in association with chronic metabolic disorders, especially in those patients on hemodialysis. This paper presents a case of bilateral triceps tendon rupture of a 36-year-old woman with renal transplantation secondary to chronic renal failure. Early surgical repair was performed using a bone tunnel technique with a nonabsorbable suture. Clinically active extension with 135 degrees of range of motion was achieved.

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Figures

Figure 1
Figure 1
Lateral radiographs showing triceps tendon avulsion with a small piece of bone from the olecranon of the left (a) and right (b) elbow.
Figure 2
Figure 2
Magnetic resonance images of right (a) and left (b) elbows demonstrating complete avulsion of triceps tendon from the olecranon.
Figure 3
Figure 3
Clinical photograph showing elbow extension (a, b, and d) and flexion (c) at 3-month follow-up.
See this image and copyright information in PMC

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