Sonography of Partial-Thickness Tears of the Distal Triceps Brachii Tendon

Downey, Ryan T.; Jacobson, Jon A.; Fessell, David; Tran, Nghi H.; Morag, Yoav; Kim, Sung Moon

doi:10.7863/jum.2011.30.10.1351

Cited by 37 publications

(25 citation statements)

References 14 publications

(15 reference statements)

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“…Ultrasound is performed with the elbow in flexion and shows reduced echogenicity and occasional calcification in tendinopathy. Partial tears of the superficial or deep insertion of the triceps can also be readily seen [61,62].…”

Section: Investigationsmentioning

confidence: 99%

“…Downey et al reported on the ultrasound findings of partial thickness tears [62]. They identified 30 tears of which five underwent surgical intervention.…”

Section: Treatmentmentioning

confidence: 99%

“…This implies that the deep portion or medial head insertion may be the origin of tendinopathy of the distal triceps, although no studies have confirmed this. Interestingly, the radiological literature demonstrates partial ruptures of the lateral/superficial tendon with an intact medial head [61,62].…”

Section: Anatomy Pathogenesis and Clinical Featuresmentioning

confidence: 99%

“…Predisposing factors for triceps rupture have been described in the literature and include chronic renal disease with secondary hyperparathyroidism [59,63], olecranon bursitis [62,64] and steroid injections [65]. Of the six case reports of partial ruptures in the literature, only one patient had renal failure [59] and one patient had a previous history of anabolic steroid use [66].…”

Section: Anatomy Pathogenesis and Clinical Featuresmentioning

confidence: 99%

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Tendinopathies Around the Elbow Part 2: Medial Elbow, Distal Biceps and Triceps Tendinopathies

et al. 2014

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In the second part of this review article the management of medial elbow tendinopathy, distal biceps and distal triceps tendinopathy will be discussed. There is a scarcity of publications concerning any of these tendinopathies. This review will summarise the current best available evidence in their management. Medial elbow tendinopathy, also known as Golfer's elbow, is up to 6 times less common than lateral elbow tendinopathy. The tendinopathy occurs in the insertion of pronator teres and flexor carpi radialis. Diagnosis is usually apparent through a detailed history and examination but care must be made to exclude other conditions affecting the ulnar nerve or less commonly the ulnar collateral ligament complex. If doubt exists then MRI/US and electrophysiology can be used. Treatment follows a similar pattern to that of lateral elbow tendinopathy. Acute management is with activity modification and topical NSAIDs. Injection therapy and surgical excision are utilised for recalcitrant cases. Distal biceps and triceps tendinopathies are very rare and there is limited evidence published. Sequelae of tendinopathy include tendon rupture and so it is vital to manage these tendinopathies appropriately in order to minimise this significant complication. Their management and that of partial tears will be considered. INTRODUCTIONThe tendinopathies to the common flexor origin, distal biceps and distal triceps occur much less commonly than lateral elbow tendinopathy. The second part of this two-part review article focuses on these tendinopathies and the current best evidence to manage them.

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Section: Investigationsmentioning

confidence: 99%

“…Downey et al reported on the ultrasound findings of partial thickness tears [62]. They identified 30 tears of which five underwent surgical intervention.…”

Section: Treatmentmentioning

confidence: 99%

Section: Anatomy Pathogenesis and Clinical Featuresmentioning

confidence: 99%

Section: Anatomy Pathogenesis and Clinical Featuresmentioning

confidence: 99%

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Tendinopathies Around the Elbow Part 2: Medial Elbow, Distal Biceps and Triceps Tendinopathies

et al. 2014

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“…The muscle bellies form a single thick tendon inserting on the proximal portion of the olecranon process of the ulna. The distal triceps brachii inserts as two tendons, a superficial tendon composed of the lateral and long heads, and a deeper medial head (28,(30)(31)(32). Both tendons share a common insertion (28,(30)(31)(32).…”

Section: Triceps Tendonmentioning

confidence: 98%

Elbow US: Anatomy, Variants, and Scanning Technique

Tagliafico

Bignotti²,

Martinoli³

2015

Radiology

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As with other musculoskeletal joints, elbow ultrasonography (US) depends on the examination technique. Deep knowledge of the relevant anatomy, such as the bone surface anatomy, tendon orientation, nerves, and vessels, is crucial for diagnosis. It is important to be aware of the primary imaging pitfalls related to US technique (anisotropy) in the evaluation of deep tendons such as the distal biceps and peripheral nerves. In this article, US scanning technique for the elbow as well as the related anatomy, primary variants, and scanning pitfalls are described. In addition, an online video tutorial of elbow US describes a possible approach to elbow evaluation. Online supplemental material is available for this article.

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Ultrasonography: Sports Injuries

Jacobson

2021

IDKD Springer Series

Self Cite

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Ultrasonography is a valuable imaging method to evaluate for sports injuries. In the upper extremity, rotator cuff evaluation is most common. Other applications include examination of the biceps and subacromial-subdeltoid bursa in the shoulder, biceps, triceps, common extensor tendon and ulnar collateral ligament in the elbow and tendon tear, pulley injury and skier’s thumb in the wrist and hand. In the lower extremity, ankle sprains, muscle injury and groin pain are the most common problems benefiting from imaging, and ultrasound plays a vital role. Tendinopathy, tendon injury and ligament injury are well visualised in the hip, knee, ankle and foot by diagnostic ultrasound.

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Sonography of Partial-Thickness Tears of the Distal Triceps Brachii Tendon

Abstract: Partial-thickness distal triceps brachii tendon tears have a characteristic appearance with selective superficial tendon retraction and olecranon enthesophyte avulsion fracture.

Cited by 37 publications

References 14 publications

Tendinopathies Around the Elbow Part 2: Medial Elbow, Distal Biceps and Triceps Tendinopathies

Tendinopathies Around the Elbow Part 2: Medial Elbow, Distal Biceps and Triceps Tendinopathies

Elbow US: Anatomy, Variants, and Scanning Technique

Ultrasonography: Sports Injuries

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