Abstract
Triceps injuries, including triceps tendon ruptures, are relatively rare. Recently, the knowledge of tendon lesions has increased, and it seems to be related to more precise diagnostic and clinical assessments. The most common mechanism of injury remains a forceful eccentric contraction of the muscle. Several other risk factors have been studied, such as chronic renal failure, endocrine disorders, metabolic bone diseases, and steroid use. Olecranon bursitis and local corticosteroid injections may also play a role. The most common site of rupture is at the tendon’s insertion into the olecranon and rarely at the myotendinous junction or intramuscularly. Surgical intervention is recommended in acute complete ruptures; non-operative treatment is reserved for patients with major comorbidities, as well as for partial ruptures with little functional disability and in low demand patients. Various techniques and approaches have been proposed for the management of these challenging injuries. The goal of surgical management should be an anatomical repair of the injured tendon by selection of a procedure with a low complication rate and one that allows early mobilization.
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References
Celli A. Triceps tendon rupture: the knowledge acquired from the anatomy to the surgical repair. Musculoskelet Surg. 2015;99(Suppl 1):S57–66.
Tatebe M, Horii E, Nakamura R. Chronically ruptured triceps tendon with avulsion of the medial collateral ligament: a report of 2 cases. J Shoulder Elb Surg. 2007;16(1):e5–7.
Sanchez-Sotelo J, Morrey BF. Surgical techniques for reconstruction of chronic insufficiency of the triceps. Rotation flap using anconeus and tendon achilles allograft. J Bone Joint Surg Br. 2002;84(8):1116–20.
van Riet RP, Morrey BF, Ho E, O’Driscoll SW. Surgical treatment of distal triceps ruptures. J Bone Joint Surg Am. 2003;85-A(10):1961–7.
Sollender JL, Rayan GM, Barden GA. Triceps tendon rupture in weight lifters. J Shoulder Elb Surg. 1998;7(2):151–3.
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Celli, A., van Riet, R.P., Savoie, F.H., O’Brien, M.J., Bain, G. (2020). Triceps Tendon Repair: Open Techniques. In: Bain, G., Eygendaal, D., van Riet, R. (eds) Surgical Techniques for Trauma and Sports Related Injuries of the Elbow. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-58931-1_70
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DOI: https://doi.org/10.1007/978-3-662-58931-1_70
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