Triceps Tendon Repair

JBJS Essential Surgical Techniques
Megan Conti Mica, Roger van Riet

Abstract

Although triceps tendon ruptures can result from a traumatic incident, chronic overuse causing degenerative changes to the insertion and leading to a complete or partial rupture is more common. In our practice, we have found that anabolic steroid abuse by weightlifters is the most common predisposing factor. The initial diagnosis is often missed. A thorough clinical examination is imperative to avoid missing a partial or complete rupture. Ultrasound or magnetic resonance imaging can confirm the diagnosis. Early diagnosis increases the chance of a direct repair. Operative treatment with direct repair is usually indicated for full-thickness or large partial-thickness tears. Direct repair may be possible for selected chronic tears. Triceps tendon repair is performed with the following steps.Step 1: The patient is placed in lateral decubitus.Step 2: The stump is debrided, and retraction of the tendon is evaluated.Step 3: Two crossed bone tunnels are drilled, and an anchor is placed centrally in the olecranon.Step 4: The elbow is extended, and the tendon is reduced and sutured centrally to the anchor and medially and laterally with use of the sutures from the bone tunnels.Step 5: The elbow is flexed to evaluate tension. If gapping o...Continue Reading

References

Oct 18, 2003·The Journal of Bone and Joint Surgery. American Volume·Roger P van RietShawn W O'Driscoll

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Citations

Jul 29, 2021·BMJ Case Reports·Pieter Willem Johannes LozekootErik Robert de Loos
Dec 16, 2021·Der Unfallchirurg·K KirchhoffC Kirchhoff

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