Chronic triceps insufficiency managed with extensor carpi radialis longus and palmaris longus tendon grafts

Singh, Dhanpal; Kumar, K Arun; M, Dinesh.; Raj, Ranju

doi:10.4103/0019-5413.93689

Cited by 6 publications

(3 citation statements)

References 16 publications

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“…Studies on cases of missed diagnosis or delayed therapy often report poor results with pain and loss of power of the extension of the elbow [ 16 , 17 ].…”

Section: Introductionmentioning

confidence: 99%

Traumatic Rupture of the Distal Triceps Tendon (A Series of 7 Cases)

Neumann¹,

Schulz²,

Breer³

et al. 2015

TOORTHJ

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Even non-traumatic ruptures of the triceps tendon are rare, surgical therapy should be recommended in all cases, because of poor results after non-operative treatment. A golden standard for the surgical procedure is not established. A small series of traumatic distal tendon ruptures was treated surgical in our hospital and was followed up after 12 months concerning their function. Very good and good results could be found with a strong reintegration of the tendon by using transosseus sutures with non resorbable suture material. The refixation with suture anchors showed disappointing results with early pull-outs of the anchor. Revision with screw augmentation with a washer had to be performed. Concerning the biomechanical forces, which show up on the olecranon (up to 40 NM), the refixation of the triceps tendon has proved to be extremely resistant against pull out forces. The good results by using non absorbable transosseus sutures led to a standardized procedure in our trauma center, even the rupture is not traumatic.

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“…Studies on cases of missed diagnosis or delayed therapy often report poor results with pain and loss of power of the extension of the elbow [ 16 , 17 ].…”

Section: Introductionmentioning

confidence: 99%

Traumatic Rupture of the Distal Triceps Tendon (A Series of 7 Cases)

Neumann¹,

Schulz²,

Breer³

et al. 2015

TOORTHJ

View full text Add to dashboard Cite

show abstract

“…It has been suggested that the palmaris longus contributes to the strength of thumb abduction and may provide an advantage to sports that require hand grip [ 4 , 5 ]; however, most studies have shown that absence of the PL is not associated with any significant physical or functional deficits, and therefore, the PL is frequently harvested for use in many different hand, reconstructive, and orthopedic surgeries [ 3 , 6 – 10 ]. The PL has a characteristically short belly and long tendon, making it an ideal donor for tendon grafts for secondary tendon reconstruction, tendon transfers, and other reconstructive efforts [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

The Variation in the Absence of the Palmaris Longus in a Multiethnic Population of the United States: An Epidemiological Study

Soltani

Perić

Francis

et al. 2012

Plastic Surgery International

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The absence of the palmaris longus (PL) has been shown to vary based on body side, gender, and ethnicity. In prior studies, homogenous ethnic populations have been shown to have differences in rates of absence. However, no study thus far has analyzed the differences in palmaris longus prevalence in a multiethnic population. We prospectively collected data on 516 patients visiting the outpatient hand clinics at LAC+USC Medical Center and Keck Medical Center. Analysis of the data was then performed for variables including ethnicity, laterality, and gender. There were no differences in the absence of the PL based on laterality or gender. Ethnically, there was no difference between white (non-Hispanic) and white (Hispanic) patients, with prevalence of 14.9% and 13.1%, respectively. However, African American (4.5%) and Asian (2.9%) patients had significantly fewer absences of the PL than the Caucasian, Hispanic reference group (P = 0.005 and P = 0.008, resp.). African Americans and Asians have a decreased prevalence of an absent PL. The Caucasian population has a relatively greater prevalence of an absence of the PL. This epidemiological study demonstrates the anatomic variation in this tendon and may be taken into account when planning an operation using tendon grafts.

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“…To date, there is no study comparing the treatment options, and only a few recommendations have been made on the use of these options ( 2 , 4 , 6 ). Among the different techniques where autografts are used, the rotational Anconeus flap ( 6 ), elongations VY ( 7 , 8 ) rotational, hamstring tendons ( 9 ) and carpi radialis and palmarislongus have been described ( 10 , 11 ). Techniques where the use of an autograft is avoided are the Achilles allograft ( 6 ) and the use of an artificial polyester mesh ( 12 ).…”

Section: Discussionmentioning

confidence: 99%

Treatment of a Complex Distal Triceps Tendon Rupture With a New Technique: A Case Report

et al. 2016

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Introduction:The distal triceps tendon rupture is an uncommon injury. The acute treatment is well-defined, but when a delayed diagnosis is made or when a tendon retraction is present the alternatives or reconstruction are limited and sometimes complex.Case Presentation:In this case, we report on a 28-year-old man who presented with a chronic disruption of the distal triceps tendon with a gap of approximately 15 cm. The patient was diagnosed in another center with an inveterate breakage of the distal triceps tendon and was initially treated with an Achilles allograft that was complicated by a wound infection and required more than ten surgeries. Nearly 22 months after the initial trauma, and 12 months after the first surgery, we performed a reconstruction with an Achilles tendon allograft using the new technique of distal attachment. At the 12-month follow-up the patient presented a joint balance from -5º to 110º and presented with no pain.Conclusions:The use of an Achilles tendon allograft provides excellent results in complex distal triceps tendon ruptures. We report the use of a new technique to anchor a distal Achilles allograft.

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Chronic triceps insufficiency managed with extensor carpi radialis longus and palmaris longus tendon grafts

Cited by 6 publications

References 16 publications

Traumatic Rupture of the Distal Triceps Tendon (A Series of 7 Cases)

Traumatic Rupture of the Distal Triceps Tendon (A Series of 7 Cases)

The Variation in the Absence of the Palmaris Longus in a Multiethnic Population of the United States: An Epidemiological Study

Treatment of a Complex Distal Triceps Tendon Rupture With a New Technique: A Case Report

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