scholarly journals MRI overestimates the full-thickness tear of distal triceps tendon rupture

2018 ◽  
Vol 26 (2) ◽  
pp. 230949901877836 ◽  
Author(s):  
Erica Kholinne ◽  
Hassan Al-Ramadhan ◽  
Abdulrahman M Bahkley ◽  
Malak Q Alalwan ◽  
In-Ho Jeon
Keyword(s):  
Tendon Rupture ◽  
Tendon Injury ◽  
Full Thickness ◽  
Triceps Brachii ◽  
Complete Tear ◽  
Partial Tears ◽  
Triceps Tendon Rupture ◽  
Tendon Tears ◽  
Magnetic Resonance Imaging Mri ◽  
Triceps Tendon

Purpose: Injury to the distal triceps brachii tendon is rare. Imaging radiographs are used to confirm the findings of physical examination, classify the extent of injury, and guide treatment. Magnetic resonance imaging (MRI) is considered the gold standard of diagnostic imaging. However, no previous study has reported on the accuracy of differentiation between partial- and full-thickness triceps tendon tears. Our study’s aim was to define the accuracy of MRI in differentiating partial- from full-thickness tear of the distal triceps tendon. We hypothesized that MRI has low accuracy in differentiating partial- from full-thickness tears. Methods: A total of eight patients with nine triceps tendon tears underwent surgical repair from 2011 to 2015. MRI of the elbows were retrospectively reviewed for the presence and type of tear, tendon involvement, and location of the tear, and later correlated with surgical findings. Results: Of the three surgically confirmed complete tears, MRI correctly reported a complete tear in all patients. Of the six partial tears confirmed at surgery, MRI correctly identified four tears. In two cases, MRI described a complete tear, but only a partial tear was noted at surgery. Conclusion: False-positive MRI assessment of distal triceps injury is not rare. Surgeons should rely on clinical examination in assessing distal triceps tendon injury, with imaging studies providing an adjunctive role in the diagnosis and decision-making.

scholarly journals A Novel “Shark-Fin” Pyramidal Achilles Bone-Tendon Allograft Surgical Technique for Delayed Reconstruction of Triceps Tendon Rupture and Review of the Literature

2021 ◽  
Vol 11 (6) ◽  
Author(s):  
Natalie Holmes ◽  
Mina Al-Janabi ◽  
Siddharth Virani ◽  
Jaikumar Relwani
Keyword(s):  
Surgical Technique ◽  
Literature Review ◽  
Reconstructive Surgical Procedures ◽  
Osteotomy Site ◽  
Full Thickness ◽  
Triceps Brachii ◽  
Tendon Allograft ◽  
Triceps Tendon Rupture ◽  
Triceps Tendon ◽  
Delayed Reconstruction

Introduction: Triceps tendon injuries are rare and often caused by direct trauma to the arm. There are no clear guidelines on the management of these and typically partial tears are treated conservatively whilst full thickness tears are treated with primary surgical repair. We aim to review the literature on the methods for triceps repair and propose a novel surgical technique. Methods: A “Medline” and “Embase” literature search of titles and abstracts combining “triceps brachii muscle,” “reconstruct/ed” or “reconstruction” alongside “reconstructive surgical procedures,” and further cross referenced with “repair/s/ed.” Excluded those related to brachial plexus injuries or general elbow trauma and removing duplicate results. 32 English results within 10 years were relevant and reviewed. Results: A 50-year-old gentleman with a 4-month-old full thickness triceps tear was repaired with a novel surgical technique of using an Achilles bone-tendon allograft fashioned into a “shark-fin” pyramidal shape and secured to the proximal ulnar in a lock and key type construct. The tendon was secured to the triceps remnant using a Krackow stitch. Complete radiological and clinical recovery was made by 18 months postoperatively with return to full physical activity. The literature review concluded no consensus in the method of treatment for delayed triceps reconstruction. Conclusion: The use of the bone-tendon allograft specifically shaped to fit congruently into an olecranon osteotomy site allows for direct bone-to-bone healing has not previously been mentioned in the literature. Results have been encouraging and the technique described is easily reproducible. Keywords: Triceps rupture, delayed, reconstruction, achilles allograft, surgical technique, literature review.

scholarly journals Triceps Ruptures After Fluoroquinolone Antibiotics: A Report of 2 Cases

2017 ◽  
Vol 9 (5) ◽  
pp. 474-476 ◽  
Author(s):  
Theodore B. Shybut ◽  
Ernest R. Puckett
Keyword(s):  
Sports Medicine ◽  
Tendon Rupture ◽  
Surgical Repair ◽  
Triceps Brachii ◽  
Fluoroquinolone Antibiotics ◽  
Triceps Tendon Rupture ◽  
Tendon Ruptures ◽  
Tendon Pathology ◽  
Triceps Tendon ◽  
Medicine Team

Rupture of the triceps brachii tendon is exceedingly rare, and surgical repair is generally indicated. Fluoroquinolone antibiotics have been implicated in tendon pathology, including tendon ruptures. Triceps rupture has not been previously reported in the setting of fluoroquinolone antibiotic therapy. We present 2 cases of triceps tendon rupture after treatment with fluoroquinolones. In both cases, triceps repair was performed with good outcomes. These cases highlight a risk of fluoroquinolone-induced tendinopathy to athletes. The sports medicine team should be aware of this risk and consider it when choosing antibiotics to treat athletes.

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

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.

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

2018 ◽  
Vol 32 ◽  
pp. 194-199 ◽  
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

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

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
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.

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

Joints ◽  
2016 ◽  
Vol 04 (04) ◽  
pp. 250-252 ◽  
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.

Feasibility of the acromion index as a reference of severity of stratified supraspinatus tendon injury: a secondary analysis

2020 ◽  
Vol 61 (12) ◽  
pp. 1661-1667
Author(s):  
Hyoung Seop Kim ◽  
Seung Ho Joo ◽  
Hyun Sun Lim ◽  
Hye Won Kim
Keyword(s):  
Intraclass Correlation ◽  
Secondary Analysis ◽  
Correlation Coefficients ◽  
Supraspinatus Tendon ◽  
Tendon Injury ◽  
Statistical Correlation ◽  
Full Thickness ◽  
X Ray ◽  
Magnetic Resonance Imaging Mri ◽  
Acromion Index

Background The acromion index (AI) is the acromial lateral extension above the head of the humerus. Some researchers have advocated that the AI indicates the severity of the tear size of the full-thickness supraspinatus tendon. Purpose To validate the reproducibility of the AI between shoulder magnetic resonance imaging (MRI) and standard X-ray and to verify whether the AI is a useful index for stratifying the severity of supraspinatus tendon injuries, as well as full-thickness tears. Material and Methods We enrolled 200 patients with impingement syndrome who were subsequently evaluated with standard X-ray of the shoulder in the anteroposterior view, as well as an MRI. We performed a pilot study to validate the reproducibility of the AI using standard X-ray and MRI, and to compare the AI between these imaging modalities. The severity of supraspinatus tendon injury was classified into four groups (0 = no evidence of injury, 1 = partial tear, 2 = full-thickness tear, and 3 = complete rupture) based on an official reading of the shoulder MRI. We compared the AIs of both modalities between the groups. Results Intraclass correlation coefficients of the AIs between the two examiners were 0.819 for MRI and 0.808 for plain X-ray. The mean AI from standard X-ray was greater than that from MRI ( P<0.0001). There was no statistical correlation between the AI and the severity of supraspinatus tendon injury. Conclusion Our findings indicate that the AI cannot be generally used as a predictive reference for the stratified severities of supraspinatus tendon injury.

Sign in / Sign up

Export Citation Format

Share Document