Triceps Rupture and Repair in a Healthy, Young Woman following Rock Climbing

Triceps tendon rupture in females is rare. In this case report, we present a young adult female patient with a distal triceps tendon rupture from bouldering treated with open surgical repair technique using a modified bone tunnel and suture anchor fixation technique. The diagnosis and technique for repair and postoperative rehabilitation are described. A review of the current literature of biomechanical and clinical outcomes of various repair techniques is also presented.

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Bone suture anchor repair and functional outcome of a triceps tendon rupture, a rare clinical entity

BMJ Case Reports ◽

10.1136/bcr-2021-241773 ◽

2021 ◽

Vol 14 (7) ◽

pp. e241773

Author(s):

Pieter Willem Johannes Lozekoot ◽

Juul Jeanne Wilhelmus Tegels ◽

Raoul van Vugt ◽

Erik Robert de Loos

Keyword(s):

Tendon Rupture ◽

Suture Repair ◽

Bone Anchor ◽

Rare Injury ◽

Accident And Emergency ◽

Active Range Of Motion ◽

Triceps Tendon Rupture ◽

Elbow Function ◽

Triceps Tendon ◽

Anchor Suture

Triceps tendon rupture is rare and easily missed on presentation. A 58-year-old man was seen in our accident and emergency department with an inability to extend his right elbow against gravity after he fell. Ultrasound and MRI confirmed the suspected diagnosis of a traumatic triceps tendon rupture and excluded additional injuries. Surgical repair was carried out by a bone anchor suture reinsertion of the tendon to the olecranon. After 2 weeks of cast immobilisation, an early active range of motion (ROM) rehabilitation schedule was followed, resulting in excellent elbow function at 12 weeks postoperatively.In conclusion, it is important to suspect this rare injury and use additional studies to confirm the diagnosis of triceps tendon rupture. Also, good clinical outcome with regards to function can be achieved using bone anchor suture repair and an early active ROM rehabilitation schedule.

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Diagnosis of triceps tendon rupture with bedside ultrasonography

Emergency Medicine Australasia ◽

10.1111/1742-6723.12094 ◽

2013 ◽

Vol 25 (5) ◽

pp. 475-476 ◽

Cited By ~ 2

Author(s):

Murat Yesilaras ◽

Ersin Aksay

Keyword(s):

Tendon Rupture ◽

Triceps Tendon Rupture ◽

Bedside Ultrasonography ◽

Triceps Tendon

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A novel approach for rehabilitation of a triceps tendon rupture: A case report

Physical Therapy in Sport ◽

10.1016/j.ptsp.2018.05.016 ◽

2018 ◽

Vol 32 ◽

pp. 194-199 ◽

Cited By ~ 1

Author(s):

Wagner Rodrigues Martins ◽

Juscelino Castro Blasczyk ◽

Saulo Soares ◽

Wagner Diniz de Paula ◽

Martim Bottaro ◽

...

Keyword(s):

Case Report ◽

Tendon Rupture ◽

Novel Approach ◽

Triceps Tendon Rupture ◽

Triceps Tendon

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A unique case of bilateral triceps avulsion fracture in a patient with pseudohypoparathyroidism

Shoulder & Elbow ◽

10.1177/1758573219876553 ◽

2019 ◽

pp. 175857321987655

Author(s):

Ali-Asgar Najefi ◽

Peter Domos

Keyword(s):

Avulsion Fracture ◽

Unique Case ◽

Double Row ◽

Avulsion Fractures ◽

Unique Method ◽

Tendon Ruptures ◽

Triceps Tendon ◽

Double Row Repair ◽

Suture Anchor Fixation ◽

Anchor Fixation

Triceps tendon ruptures and avulsions are rare injuries and are often associated with systemic diseases. This paper illustrates the unique case of a 20-year-old female patient with pseudohypoparathyroidism, who sustained bilateral triceps avulsion fractures after a fall. She underwent suture anchor fixation, augmented with tension band suture as double row repair with excellent post-operative results. We describe the pathophysiology of this injury and the unique method of fixation, which can be an alternative effective method to repair these injuries.

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Triceps tendon rupture in the dog following corticosteroid injection

Journal of Small Animal Practice ◽

10.1111/j.1748-5827.1982.tb03505.x ◽

1982 ◽

Vol 23 (12) ◽

pp. 779-787 ◽

Cited By ~ 11

Author(s):

J. V. DAVIES ◽

D. G. CLAYTON JONES

Keyword(s):

Tendon Rupture ◽

Corticosteroid Injection ◽

Triceps Tendon Rupture ◽

Triceps Tendon

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Synthetic Augmented Suture Anchor Reconstruction for a Complete Traumatic Distal Triceps Tendon Rupture in a Male Professional Bodybuilder with Postoperative Biomechanical Assessment

Case Reports in Orthopedics ◽

10.1155/2014/962930 ◽

2014 ◽

Vol 2014 ◽

pp. 1-6 ◽

Cited By ~ 1

Author(s):

Maria-Elissavet Nikolaidou ◽

Ingo J. Banke ◽

Thomas Laios ◽

Konstantinos Petsogiannis ◽

Anastasios Mourikis

Keyword(s):

High Performance ◽

Tendon Rupture ◽

Suture Anchor ◽

Donor Site ◽

Donor Site Morbidity ◽

Reconstruction Technique ◽

Return To Sports ◽

Biomechanical Assessment ◽

Triceps Tendon Rupture ◽

Triceps Tendon

Bodybuilding is a high-risk sport for distal triceps tendon ruptures. Management, especially in high-demanding athletes, is operative with suture anchor refixation technique being frequently used. However, the rate of rerupture is high due to underlying poor tendon quality. Thus, additional augmentation could be useful. This case report presents a reconstruction technique for a complete traumatic distal triceps tendon rupture in a bodybuilder with postoperative biomechanical assessment. A 28-year-old male professional bodybuilder was treated with a synthetic augmented suture anchor reconstruction for a complete triceps tendon rupture of his right dominant elbow. Postoperative biomechanical assessment included isokinetic elbow strength and endurance testing by using multiple angular velocities to simulate the “off-season” and “precompetition” phases of training. Eighteen months postoperatively and after full return to training, the biomechanical assessment indicated that the strength and endurance of the operated elbow joint was fully restored with even higher ratings compared to the contralateral healthy arm. The described reconstruction technique can be considered as an advisable option in high-performance athletes with underlying poor tendon quality due to high tensile strength and lack of donor site morbidity, thus enabling them to restore preinjury status and achieve safe return to sports.

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Surgical repair of isolated triceps tendon rupture using a suture anchor technique: a case report

Joints ◽

10.11138/jts/2016.4.4.250 ◽

2016 ◽

Vol 04 (04) ◽

pp. 250-252 ◽

Cited By ~ 2

Author(s):

Federico Mancini ◽

Gabriele Bernardi ◽

Vincenzo De Luna ◽

Cosimo Tudisco

Keyword(s):

Tendon Rupture ◽

Suture Anchor ◽

Clinical Presentation ◽

Surgical Repair ◽

Suture Anchors ◽

Open Surgical Repair ◽

Repair Technique ◽

Triceps Tendon Rupture ◽

Common Clinical Presentation ◽

Triceps Tendon

Rupture or avulsion of the distal triceps tendon is one of the least common tendon injuries. The most common clinical presentation of the injury is avulsion from the olecranon. The diagnosis of acute triceps tendon rupture may be missed and this can result in prolonged disability.We report the case of a 42-year-old man with isolated triceps rupture treated by an open surgical repair technique involving the use of bone suture anchors.

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