Triceps Tendon Ruptures

Abstract

» Triceps tendon ruptures (TTRs) are rare and often occur as a result of falling on an outstretched hand, forceful eccentric contraction, direct trauma to the elbow, or lifting against resistance.» TTRs are most commonly seen in middle-aged men, football players, and weightlifters.» Radiography, ultrasonography, and magnetic resonance imaging may be utilized for diagnosis and to guide treatment.» Acute partial TTRs may have good outcomes with nonoperative management. Surgery should be considered if nonoperative treatment is unsuccessful or if substantial musculotendinous retraction is present.» Surgical repair is strongly recommended for complete TTRs.

Retorno ao Esporte após Lesão do Tríceps em Praticante de Musculação: Relato de Caso

“…Existe uma associação importante destas lesões com o uso de esteroides anabolizantes androgênicos. Contudo, observamos queixas frequentes em praticantes de musculação [1][2][3][4][5][6][7][8] .…”

“…Contudo, lesões parciais não possuem consenso na literatura, além de possivelmente serem subdiagnosticadas. Alguns autores optam pelo tratamento conservador, enquanto outros, orientam que a manutenção apenas da cabeça medial não é suficiente para manter a função do paciente, além de que, haverá evolução para ruptura completa [1][2][3][4][5][6][7][8] .…”

Functional Considerations in Bilateral, Simultaneous Tendon Injuries of the Upper Extremity

“…Bilateral, simultaneous injuries are infrequently observed within the literature without a reported incidence. In general, TTRs have been associated with multiple risk factors including anabolic or local steroid use, fluoroquinolone use, and systemic illness such as hyperparathyroidism, renal osteodystrophy, and rheumatoid arthritis 56,57 . Anabolic steroid use and renal failure have been reported in bilateral injuries, but the presence of additional or unique risk factors has not been examined 58,59 .…”

“…Postoperative rehabilitation protocols after primary repair vary across the literature, but collectively, the return of preinjury motion and strength can be expected within 3 to 4 months 57,63 . Owing to rarity of TTR and overwhelm-ing lack of evidence, rehabilitation protocols after distal biceps repair have been used to augment conventional approaches to TTR rehabilitation 57 .…”

“…Postoperative rehabilitation protocols after primary repair vary across the literature, but collectively, the return of preinjury motion and strength can be expected within 3 to 4 months 57,63 . Owing to rarity of TTR and overwhelm-ing lack of evidence, rehabilitation protocols after distal biceps repair have been used to augment conventional approaches to TTR rehabilitation 57 . These protocols are largely outlined by Blackmore et al which featured 10 to 14 days of elbow immobilization in 30°of flexion with full extension permitted at 6 weeks and a RTS or other activities between 12 and 24 weeks 64 .…”