Triceps tendons: a biomechanical comparison of intact and repaired strength

Petre, Benjamin M.; Grutter, Paul W.; Rose, David M.; Belkoff, Stephen M.; McFarland, Edward G.; Petersen, Steve A.

doi:10.1016/j.jse.2010.08.017

Cited by 34 publications

(28 citation statements)

References 24 publications

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“…They reported a significant repeated rupture rate of 21% (3 of 14 cases). Additionally, Petre et al 15 found in their biomechanical study that triceps tendons after transosseous cruciate repair were significantly weaker than intact tendons (317 N v 1,741 N for average load to failure). Suture anchorebased repairs have fared better.…”

Section: Discussionmentioning

confidence: 99%

Distal Triceps Knotless Anatomic Footprint Repair Is Superior to Transosseous Cruciate Repair: A Biomechanical Comparison

Clark

Obopilwe

Rizzi

et al. 2014

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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Section: Discussionmentioning

confidence: 99%

Distal Triceps Knotless Anatomic Footprint Repair Is Superior to Transosseous Cruciate Repair: A Biomechanical Comparison

Clark

Obopilwe

Rizzi

et al. 2014

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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“…Injury to the triceps brachii occurs at the distal tendon-olecranon, myotendinous or intramuscular junctions, and proximally at the origin of the lateral head [14,15]. These conditions spontaneously tend to accompany systemic diseases (rheumatoid arthritis, systemic lupus erythematosus, hyperparathyroidism, chronic renal failure and hemodialysis, Marfan syndrome) and chronic steroid use [16,17] that alter the structural integrity of the tendon.…”

mentioning

confidence: 99%

Growth Dynamics of the Triceps Brachii Muscle in the Human Fetus

et al. 2014

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Background. The triceps brachii muscle, the strongest extensor of the elbow joint, is characterized by the three heads: long, lateral and medial. Objectives. In the present study we aimed to examine the linear parameters (length, width) of the fetal triceps brachii muscle and to provide their growth dynamics. Material and Methods. Using anatomical dissection, digital image analysis (Multiscan v.14.02), and statistics (Student's t-test, regression analysis) we measured in mm the length and width of the triceps brachii in 30 fetuses of both sexes (12♂,18♀) aged 12-29 weeks. Results. Neither sex nor laterality differences were found. all the parameters studied increased proportionately with age. The linear functions were computed as follows: y = 6.797 + 2.079 x age (r = 0.886) for length of the long head's belly, y = -0.041 + 0.215 × age (r = 0.786) for width of the long head's belly, y = 1.889 + 0.174 × age (r = 0.796) for length of the long head's proximal tendon, y = 0.158 + 0.052 × age (r = 0.864) for width of the long head's proximal tendon, y = 5.270 + 1.809 × age (r = 0.855) for length of the lateral head's belly, y = 0.348 + 0.284 × × age (r = 0.829) for width of the lateral head's belly, y = 0.942 + 1.837 × age (r = 0.839) for length of the medial head's belly, y = 0.314 + 0.234 × age (r = 0.852) for width of the medial head's belly, y = -3.191 + 0.984 × age (r = 0.929) for lenght of the common tendon, and y = -0.478 + 0.133 × age (r = 0.933) for width of the common tendon. Conclusions. Neither male-female nor right-left differences are observed in morphometric parameters of the triceps brachii muscle. The long head's belly is the thinnest, while the lateral head's belly is the widest one. The long head is the longest and the medial head is the shortest one. The developmental dynamics of the triceps brachii muscle follow proportionately (Adv Clin Exp Med 2014, 23, 2, 177-184).

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“…Partial ruptures appear to preferentially affect the medial part of the tendon. For Petre et al [27], distal triceps tendon tears start at the medial side of the tendon-bone interface and progress laterally. Tatebe et al [28] reported two cases of incomplete disruption of the extensor mechanism of the elbow; in one case, there was a partial bony avulsion of the triceps tendon from the medial half of the olecranon, while in the second case, the medial part of the triceps tendon was ruptured with preservation of continuity between the lateral part and the anconeus.…”

Section: Type Of Injurymentioning

confidence: 99%

“…For others [4,18,69], the tendon proper is capable of compensating rupture of the tendon expansion, while this anatomic structure appears incompetent to fully overcome a deficient tendon proper. In cadaveric experiment, Petre et al [27] conversely observed that despite a gross biomechanical insufficiency of the triceps tendon, this muscle may still be able to actively extend the elbow when the lateral tendon fibres and retinaculum are intact. As previously mentioned by Tarsney [3], Madsen et al [18] approved that 'Patients with triceps tendon tears are generally weak near terminal extension or are unable to actively extend the elbow'.…”

Section: Clinical Findingsmentioning

confidence: 99%

“…They also concluded that this technique offers the utmost anatomic repair of distal triceps ruptures with 'statistically significantly less repair-site motion when cyclically loaded' [10]. Petre et al [27] noticed the paucity of clinical data comparing triceps tendon strength after various surgical repair techniques and acknowledged the importance of early mobilization after repair to reduce the risk of elbow stiffness. They compared in cadaveric specimens the strength of the intact distal triceps insertion with that of direct drill holes reinsertion and autograft-augmented repair and concluded that 'When compared with direct repair, augmented repair offers significantly more biomechanical strength that may benefit tendon healing, postoperative rehabilitation, and recovery'.…”

Section: Treatment Modalitiesmentioning

confidence: 99%

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