Introduction: The present case report describes an acute reconstruction of extensor hallucis longus (EHL) tendon with defect treated using looped extensor hallucis brevis (EHB) tendon graft. Case Report: A 40 year male manual labor had an acute traumatic EHL tear which was repaired at a primary health care center. After 2 days, the patient felt a sudden click and a re-tear at zone IV of EHL. Since there was a defect of 3.5 cm which was not amenable for primary repair, EHB graft was used for the reconstruction in a loop fashion. The foot and ankle disability index score was 95.2 at 2 years follow-up with grade 4 + power. Conclusion: EHB graft is a good alternative to other autografts for extensor hallucis longus reconstructions with good clinical and functional outcomes.

Introduction: Ideal treatment of chronic distal triceps rupture is controversial due to low occurrence of this injury. We report a unique case of chronic traumatic distal triceps rupture which was missed initially and then treated by tension band wiring. Case Report: A 30-year-old manual labor presented with 2-month-old injury and difficulty in complete extension of the elbow which was initially managed conservatively. He was clinic-radiologically diagnosed as complete distal triceps bony avulsion tear. He was operated using tension band wiring technique. His DASH score at the end of 2-year follow-up was 5.4 indicating excellent outcome. Conclusion: A strong clinical suspicion should be raised about triceps injury in patients with chronic elbow pain and weak extension. Tension band wiring technique gives good clinical and functional outcome in patients with bony avulsion along with distal triceps tear.