Distal Triceps Rupture Repair: The Triceps Pulley-Pullover Technique

Dimock, Richard; Kontoghiorghe, Christina N; Consigliere, Paolo; Salamat, Shadi; Imam, Mohamed A.; Narvani, A

doi:10.1016/j.eats.2018.09.006

Cited by 9 publications

(13 citation statements)

References 8 publications

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“…Current smallscale studies report rerupture and consequent revision rates between 0% and 25% in high-demand cohorts, which can vary based on the surgical technique, although most reported revision rates are between 0% and 9.5%. 4,20,[24][25][26] Anabolic steroid use is thought to be a risk factor for distal triceps tears. 2,5,6,23 For our study, patients with a prescription for anabolic steroids within 1 year before the surgery had a statistically significant increase in revision rates.…”

Section: Discussionmentioning

confidence: 99%

“…Current small-scale studies report rerupture and consequent revision rates between 0% and 25% in high-demand cohorts, which can vary based on the surgical technique, although most reported revision rates are between 0% and 9.5%. 4,20,24-26…”

Section: Discussionmentioning

confidence: 99%

“…1,2 Distal triceps ruptures typically occur when the tendon detaches from the bone at the osseous-tendon-bone junction from an abrupt contraction of the muscle when the elbow is in extension, such as a fall onto a hyperextended hand or during weightlifting. [2][3][4][5][6] Triceps ruptures have also been reported as a result of direct trauma, although this is uncommon. [7][8][9] These ruptures lead to pain and swelling, which can limit strength and the elbow's range of motion.…”

Section: Introductionmentioning

confidence: 99%

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Surgical Outcomes, Trends, and Risk Factors of Distal Triceps Repairs

Lee

Stillson

Seidel

et al. 2022

Hand (New York, N,Y.)

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Background: Distal triceps ruptures are rare, and complete ruptures are commonly treated with surgery. Studies of patients in small cohorts with distal triceps tear have reported outcomes and risk factors; however, large-scale data are scant. This study seeks to determine current trends, outcomes, and risk factors of distal triceps tears. Methods: Within a large insurance claims database, distal triceps repair patients were identified through Current Procedural Terminology coding with concomitant distal triceps International Classification of Diseases, 9th Revision/10th Revision diagnosis codes and 1-year active status before and after surgery. Demographics, total costs, 90-day complications, and revision rates within 1 year of index surgery were analyzed. Logistic regression was performed for revision and complication rates using sex, age, and comorbidities (anabolic steroid use, diabetes, ischemic heart disease, tobacco use, rheumatoid arthritis, and chronic kidney disease). Results: A total of 8143 patients were included in the cohort. Male patients and patients aged 40 to 59 years comprised most of the study population. The postoperative complication rate was 5.8%, and the 1-year revision rate was 2.6%. Male sex, age >60 years, ischemic heart disease, rheumatoid arthritis, and chronic kidney disease were statistically significant risk factors for higher 90-day complication rates. Anabolic steroid use significantly increased the risk of surgical revision. Conclusions: Distal triceps repairs in this large cohort study occur most frequently in men aged 40 to 59 years. Complications are generally low, with age >60 years, male sex, ischemic heart disease, rheumatoid arthritis, and chronic kidney disease as risk factors for 90-day complications and prior anabolic steroid use as a risk factor for 1-year revision surgery. This information can help to improve education and expectations of this procedure.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Surgical Outcomes, Trends, and Risk Factors of Distal Triceps Repairs

Lee

Stillson

Seidel

et al. 2022

Hand (New York, N,Y.)

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“…It has also been described that multiple suture knots in this region might cause inflammation in the soft tissue envelope. 4,6 A cadaver study by Carpenter et al 3 adjusted these techniques by using an equal number of sutures in both, and providing a tendon-compressing effect in the transosseous technique similar to the knotless double-row repair. No significant difference in tendon displacement or footprint coverage was found after cyclic-loading, contrasting with previous studies.…”

Section: Compared 3 Different Repair Techniquesmentioning

confidence: 99%

Acute and chronic triceps tendon rupture treated with knotless double-row anchor repair: two case reports

Constantino

Varela

Quintas

et al. 2021

JSES Reviews, Reports, and Techniques

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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“…Surgical treatment is the standard of care for triceps injuries in active individuals. Options for repair include transosseous, 1 , 2 , 3 , 4 , 5 , 6 , 7 suture anchor (SA), 1 , 2 , 4 , 8 , 9 and hybrid transosseous-SA techniques. 3 , 5 , 6 , 10 The transosseous cruciate (TC) technique has been the historical standard for treatment of these injuries.…”

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confidence: 99%

All-Suture Anatomic Footprint Repair of the Distal Triceps Tendon

Anderson

2020

Arthroscopy Techniques

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Distal triceps ruptures are an uncommon injury, and currently, there is a lack of consensus on the optimal surgical technique for repair. The traditional transosseous cruciate repair has been shown to be nonanatomic and to have a higher failure rate and be biomechanically inferior to suture anchor repairs. The use of anchors significantly increases procedure cost and theoretically increases the risk of complications related to drill and anchor placement. The technique described in this article allows anatomic restoration of the triceps tendon while avoiding the increased cost and risk that may be associated with suture anchor placement.

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Distal Triceps Rupture Repair: The Triceps Pulley-Pullover Technique

Cited by 9 publications

References 8 publications

Surgical Outcomes, Trends, and Risk Factors of Distal Triceps Repairs

Surgical Outcomes, Trends, and Risk Factors of Distal Triceps Repairs

Acute and chronic triceps tendon rupture treated with knotless double-row anchor repair: two case reports

All-Suture Anatomic Footprint Repair of the Distal Triceps Tendon

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