Surgical Management of Bilateral Triceps Muscle Rupture: A Case Report and Literature Review

Abstract

Introduction: Triceps tendon avulsion is a rare tendinous injury that can be easily overlooked. If left untreated, such injuries can lead to a weakening of a patient's elbow extension and thereby cause significant disability; therefore, early identification and appropriate surgical intervention are important.

Case report: We report bilateral triceps tendon avulsion injuries in a 49-year-old, right-hand dominant airline pilot. The patient fell while running and injured both his elbows. X-rays of both elbows showed displaced olecranon avulsion fractures, confirming triceps tendon injuries. Bone tendons were repaired with the suture anchor technique, and a solid repair was achieved. 3 months post-surgery, the post-operative progress of the patient was satisfied with full function, a range of motion of 5-150° on the left arm, and 0-150° on the right arm and ability to return to work with no restrictions.

Conclusion: Triceps tendon avulsion is a rare injury with few reported cases. Literature suggests that the successful outcome of the patient depends on early identification and timely intervention, such as surgical repair through a trans-osseous suture technique. Our report adds to the knowledge base available in the existing medical literature for future reference by healthcare professionals.

Keywords: Triceps; avulsion; surgical repair; tendon.

Figure 1

(A) X-ray of left triceps pre-operative (B) X-ray of right triceps pre-operative.

Figure 2

(A and B) Intraoperative picture showing bi-lateral triceps muscle rupture.

Figure 3

(a) X-ray of left triceps post-operative (b) X-ray of right triceps post-operative.