Triceps avulsion, radial head fracture, and medial collateral ligament rupture about the elbow: a report of 4 cases

Yoon, Michele Y.; Koris, Mark J.; Ortíz, José Alfredo Soto; Papandrea, Rick F.

doi:10.1016/j.jse.2011.06.017

Cited by 25 publications

(20 citation statements)

References 25 publications

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“…In the case presented here, elbow extension was weak but actively present probably because of the remaining anconeus muscle fibres. TTA was suspected due to the extensive swelling of the elbow and ecchymosis, which complied with the literature 3 5 6 9. These findings suggested that the presence of a palpable gap in the posterior elbow is a more valuable symptom than loss of active elbow extension in the diagnosis of TTA.…”

Section: Discussionsupporting

confidence: 84%

“…TTA may not be detected due to the trauma causing pain around the elbow and mis-perception of tenderness on the radial side 5. In the case presented here, elbow extension was weak but actively present probably because of the remaining anconeus muscle fibres.…”

Section: Discussionmentioning

confidence: 65%

“…Yoon et al 5 stated that if the lateral radiograph reveals a bone flake, MRI is not required to diagnose TTA. According to Gaines et al ,10 MRI demonstrates the extent of the tendon rupture and is beneficial in deciding the timing of the surgery.…”

Section: Discussionmentioning

confidence: 99%

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Triceps tendon avulsion and associated injuries of the elbow

et al. 2013

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A rupture or avulsion of the triceps tendon is very rare but concomitant elbow injuries with avulsion of the triceps tendon are even rarer. In this study, an extraordinary and unusual injury combination (radial head and trochlear fracture associated with triceps tendon avulsion), which happened during a fall onto the elbow with outstretched hand, was identified and has been discussed in the literature.

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Section: Discussionsupporting

confidence: 84%

Section: Discussionmentioning

confidence: 65%

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Triceps tendon avulsion and associated injuries of the elbow

et al. 2013

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“…At 20 and 14 months after surgery, they recovered functional arc of motion with good elbow stability and functional extensor mechanism. • Yooh et al [45] described the triceps avulsion with a radial head fracture and concomitant rupture of the medial collateral ligament in four cases. The triceps tendon was re-attached to the olecranon, and the medial collateral ligament lesion and the radial head fractures were treated according to their conditions.…”

Section: Discussionmentioning

confidence: 99%

Triceps tendon rupture: the knowledge acquired from the anatomy to the surgical repair

Celli

2015

Musculoskelet Surg

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Triceps injuries are relatively uncommon in most traumatic events, and the distal triceps tendon ruptures are rare. Recently, the knowledge of this tendon lesion has increased, and it seems to be related to more precise diagnostic and clinical assessments. The most common mechanism of injury remains a forceful eccentric contraction of the muscle, while several other risk factors have been studied as chronic renal failure, endocrine disorders, metabolic bone diseases as well as steroid use. Olecranon bursitis and local corticosteroid injections may also play a role. The commonest site of rupture is at the tendon's insertion into the olecranon and rarely at the myotendinous junction or intramuscularly. The surgical intervention is recommended in acute complete ruptures, and non-operative treatment is reserved for patients with major comorbidities, as well as for partial ruptures with little functional disability and in low demanding patients. Various techniques and approaches as the direct repair to bone, the tendon augmentation, the anconeus rotation flap and the Achilles tendon allograft have been proposed for the management of these challenging injuries. The goal of surgical management should be an anatomical repair of the injured tendon by selection of a procedure with a low complication rate and one that allows early mobilization. This manuscript focuses the triceps tendon ruptures starting from the anatomy to the diagnosis and entity of the triceps tendon injuries, as well as the indications and guidelines for the management.

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“…Associated fractures and dislocations may complicate the repair process and the rehabilitation of the elbow. 9 Extensor weakness or extensor lag may follow incomplete rehabilitation or inadequate splinting postop. Failure of the repair may result from a suture pullout or an anchor failure, and must be addressed with the consideration of a repeat repair or augmentation with an allograft.…”

Section: Complicationsmentioning

confidence: 99%