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

Neumann, H.; Schulz, Arndt-Peter; Breer, S.; Faschingbauer, M.; Kienast, B.

doi:10.2174/1874325001509010536

Cited by 14 publications

(14 citation statements)

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“…The two described mechanisms for acute tears of the triceps are direct contact trauma, such as a fall or hitting fixed resistance with the posterior elbow[ 5 , 14 , 19 , 21 , 25 ]. Weightlifting[ 1 , 5 , 17 , 19 , 23 - 25 , 27 , 30 ] was the most common sport associated with acute tears and was often associated with a history of steroid use[ 1 , 23 , 30 ].…”

Section: Resultsmentioning

confidence: 99%

“…Numerous surgical techniques have been reported. These include suture anchors in the triceps footprint[ 5 , 6 , 21 , 25 , 32 ], bone tunnels[ 10 , 14 , 20 , 22 , 31 , 33 ] or a combination of both tunnels and anchors[ 15 , 19 , 33 ]. Suture anchors repairs have also been performed arthroscopically[ 5 , 6 , 32 ].…”

Section: Resultsmentioning

confidence: 99%

“…Because of the heterogeneity of types of tear, repair techniques, and outcome measures it is impossible to determine superiority of one technique over another. Generally surgery has been reported to give good improvement in the Morrey score, Mayo, ASES, Oxford elbow scores and DASH[ 6 , 9 , 14 , 21 , 29 ]. It is reported to significantly reduce pain and improve muscle strength[ 6 , 10 , 19 ].…”

Section: Resultsmentioning

confidence: 99%

“…It is reported to significantly reduce pain and improve muscle strength[ 6 , 10 , 19 ]. Our pooled results have demonstrated that in three studies, all patients achieved full extension in some studies with flexion to at least 110 degrees[ 10 , 14 , 15 ], whereas others achieve an average loss of 7-10 degrees of extension[ 10 , 19 ]. Three of 14 (21%) re-ruptures were reported in van Reit[ 10 ]’s study, one suture anchor pullout was been reported and needed revision[ 14 ], and one asymptomatic partial re-rupture was detected on post-operative MRI[ 6 ].…”

Section: Resultsmentioning

confidence: 99%

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Distal triceps injuries (including snapping triceps): A systematic review of the literature

Shuttlewood¹,

Beazley²,

Smith³

2017

WJO

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AIMTo review current literature on types of distal triceps injury and determine diagnosis and appropriate management.METHODSWe performed a systematic review in PubMed, Cochrane and EMBASE using the terms distal triceps tears and snapping triceps on the 10th January 2017. We excluded all animal, review, foreign language and repeat papers. We reviewed all papers for relevance and of the papers left we were able to establish the types of distal triceps injury, how these injuries are diagnosed and investigated and the types of management of these injuries including surgical. The results are then presented in a review paper format.RESULTSThree hundred and seventy-nine papers were identified of which 65 were relevant to distal triceps injuries. After exclusion we had 47 appropriate papers. The papers highlighted 2 main distal triceps injuries: Distal triceps tears and snapping triceps. Triceps tear are more common in males than females occurring in the 4th-5th decade of life and often due to a direct trauma but are also strongly associated with weightlifting and American football. The tears are diagnosed by history and clinically with a palpable gap. Diagnosis can be confirmed with the use of ultrasound (US) and magnetic resonance imaging. Treatment depends on type of tear. Partial tears can be treated conservatively with bracing and physio whereas acute tears need repair either open or arthroscopic using suture anchor or bone tunnel techniques with similar success. Chronic tears often need augmenting with tendon allograft or autograft. Snapping triceps are also seen more in men than women but at a mean age of 32 years. They are characterized by a snapping sensation mostly medially and can be associated with ulna nerve subluxation and ulna nerve symptoms. US is the diagnostic modality of choice due to its dynamic nature and to differentiate between snapping triceps tendon or ulna nerve. Treatment is conservative initially with activity avoidance and if that fails surgical management includes resection of triceps edge or transposition of the tendon plus or minus ulna nerve transposition.CONCLUSIONDistal triceps injuries are uncommon. This systematic review examines the evidence base behind diagnosis, imaging and treatment options of distal triceps injuries including tears and snapping triceps.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Distal triceps injuries (including snapping triceps): A systematic review of the literature

Shuttlewood¹,

Beazley²,

Smith³

2017

WJO

View full text Add to dashboard Cite

show abstract

“…Furthermore, the vast majority of patients had full strength and range of motion following surgical repair. 17,18,24,41 Other patients were able to return to heavy weight lifting. After repairing TTR, Bach et al 3 reported their patient was able to bench 375 lbs and power clean 407 lbs, whereas Naito et al 23 reported that their patient was able to bench 215 kg at 2 months postoperatively.…”

Section: Discussionmentioning

confidence: 99%