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Review
. 2017 Mar 13;1(6):255-259.
doi: 10.1302/2058-5241.1.000038. eCollection 2016 Jun.

Distal triceps ruptures

Mehmet Demirhan  1 , Ali Ersen  2
Affiliations
Review

Distal triceps ruptures

Mehmet Demirhan et al. EFORT Open Rev. .

Abstract

Distal triceps ruptures are rare injuries due to the special anatomical features of the muscle and tendon-bone junction.This injury typically occurs at the tendon-bone junction due to an eccentric contraction of the muscle.The treatment is controversial, especially in partial ruptures; surgical repair is indicated for complete ruptures of the distal triceps tendon.Several repair techniques have been described for acute complete ruptures.Chronic ruptures often require reconstruction rather than direct repair. Cite this article: Demirhan M, Ersen A. Distal triceps ruptures. EFORT Open Rev 2016;1:255-259. DOI: 10.1302/2058-5241.1.000038.

Keywords: aetiology; anatomy; diagnosis; distal rupture; transosseous repair; treatment; triceps.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Fig. 1
Fig. 1
The dome shape of the triceps footprint on the olecranon.
Fig. 2
Fig. 2
Pathognomonic finding of the triceps rupture: the ‘fleck’ sign.
Fig. 3
Fig. 3
MR imaging of triceps rupture from the insertion of the olecranon.
Fig. 4
Fig. 4
a) Exposure of the ruptured triceps through the posterior approach. b) Grasping of the tendon with double-locked Krackow sutures. c) Final fixation of the triceps with transosseous repair.
Fig. 5
Fig. 5
a) The insertion of the anchor in the centre of the footprint of the triceps tendon. b) Grasping of the tendon with the sutures leading from the anchor. c) Final fixation of the tendon with the suture anchor technique.
Fig. 6
Fig. 6
a) Heterotopic ossification (HO) after suture anchor repair of a triceps rupture. b) Same elbow after HO resection.
See this image and copyright information in PMC

References

    1. Anzel SH, Covey KW, Weiner AD, Lipscomb PR. Disruption of muscles and tendons; an analysis of 1,014 cases. Surgery 1959;45:406-14. - PubMed
    1. Tom JA, Kumar NS, Cerynik DL, Mashru R, Parrella MS. Diagnosis and treatment of triceps tendon injuries: a review of the literature. Clin J Sport Med 2014;24:197-204. - PubMed
    1. Yeh PC, Dodds SD, Smart LR, Mazzocca AD, Sethi PM. Distal triceps rupture. J Am Acad Orthop Surg 2010;18:31-40. - PubMed
    1. Keener JD, Chafik D, Kim HM, Galatz LM, Yamaguchi K. Insertional anatomy of the triceps brachii tendon. J Shoulder Elbow Surg 2010;19:399-405. - PubMed
    1. Mair SD, Isbell WM, Gill TJ, Schlegel TF, Hawkins RJ. Triceps tendon ruptures in professional football players. Am J Sports Med 2004;32:431-4. - PubMed

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