Distal biceps and triceps ruptures

Kokkalis, Zinon T.; Ballas, Efstathios G.; Mavrogenis, Andreas F.; Soucacos, Panayotis N.

doi:10.1016/j.injury.2013.01.003

Cited by 16 publications

(5 citation statements)

References 55 publications

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“… 31 , 39 However, others have reported injuries in attempts to prevent a fall or from direct trauma just proximal to the elbow. 13 , 26 For some patients, it is difficult to accurately remember the position of their extremities at the time of sudden trauma, such as a DBBTR, and to clearly explain the injury mechanism to a physician. Therefore, some studies have used video-based methods to determine the mechanisms of various injury types, including ankle fractures and shoulder and elbow dislocations.…”

Section: Discussionmentioning

confidence: 99%

The Role of Deadlifts in Distal Biceps Brachii Tendon Ruptures: An Alternative Mechanism Described With YouTube Videos

Kapıcıoğlu

Bılgın²,

Güven

et al. 2021

Orthopaedic Journal of Sports Medicine

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Background: The classic injury mechanism of a distal biceps brachii tendon rupture (DBBTR) is eccentric loading to the flexed elbow when the forearm is supinated. Purpose: To determine alternative mechanisms of a DBBTR in powerlifting sports, particularly in deadlift competitions, with the use of YouTube videos. Study Design: Descriptive epidemiology study. Methods: A search on YouTube was performed using the search terms “distal biceps tendon rupture” and “distal biceps tendon injury” combined with “competition,” “deadlift,” and “powerlifting.” The videos underwent an evaluation for accuracy by 3 surgeons according to predetermined criteria. Type of sports activity, participant sex, side of the injury, and arm positions at the time of the injury were recorded. Results: Among the videos reviewed, 35 injuries were found appropriate for an evaluation. All participants were male. The majority of the injuries (n = 25) were observed during the deadlift. Only in 1 deadlift injury were both forearms in supination. In the remaining deadlift injuries (n = 24), all elbows were in extension, with 1 forearm in supination and the other in pronation. Among the deadlift injuries in the mixed-grip position, all ruptures occurred in a supinated extremity: 25% (n = 6) of ruptures occurred on the right side, and 75% (n = 18) of ruptures occurred on the left side; this was a significant difference ( P = .014). Conclusion: We described an alternative mechanism for a DBBTR, namely, eccentric loading to an extended elbow when the forearm is supinated during the deadlift. As all the ruptures occurred in a supinated extremity, holding the bar with both forearms in pronation may prevent or decrease the risk of ruptures during the deadlift.

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Section: Discussionmentioning

confidence: 99%

The Role of Deadlifts in Distal Biceps Brachii Tendon Ruptures: An Alternative Mechanism Described With YouTube Videos

Kapıcıoğlu

Bılgın²,

Güven

et al. 2021

Orthopaedic Journal of Sports Medicine

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“…Risk factors found, were: male gender (85%) with mean age of 37 years old while females patients were older (mean age of 45 years old), metabolic disease (2%), anabolic steroid use (2%), local injections of corticosteroid (6%) (5,7), sports such as weight lifting, skiing, football, rugby, volleyball (45%) or those sports that cause an elbow stress. (38) Testosterone administration can lead to alterations of biomechanical properties of tendons (39), reduction of elastic properties (40), tendon dysfunction and fibrosis, with a higher incidence of spontaneous tendon ruptures (41).…”

Section: Discussionmentioning

confidence: 99%

Chronic Distal Triceps Brachii Tendon Ruptures. A Systematic Review of Surgical Procedures and Outcomes

Oliva

Sesti

Gasparini

et al. 2020

Muscle Ligaments and Tendons J

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Background. Chronic and neglected ruptures of distal triceps brachii tendon (TBT), for different reasons, are rarer than acute ruptures. We aimed to review the literature about their surgical treatment and outcome to better understand how to address this kind of rare tendon injuries. Sources of data. Published articles in English in PubMed, Scopus and Google Scholar up to December 2019 about chronic ruptures of distal TBT. Twenty-one papers were included following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Areas of agreement. In cases of neglected rupture or re-rupture of the distal TBT surgical treatment is required. The macroscopic quality of the residual stump rather than the timing of intervention is the key point in the choice of a specific surgical procedure, included autograft or allograft. Areas of controversy. Several surgical procedures are described to restore the tendon anatomy and function. The quality of the current literature could not afford definitive conclusions on which procedure guarantee the best results. Growing points. Studies comparing different surgical treatments need to be further investigated. If found to be significant, preventive and therapeutic strategies should subsequently be developed.

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“…Complete tendon ruptures must be treated surgically in order to regain complete function recovery [ 12 , 18 – 20 ]. The two most common techniques are transosseous sutures (gold standard) or suture anchors, which have both yielded excellent outcomes [ 19 , 21 – 23 ]. We opted for suture anchors as we have achieved fast and reproducible results using this method.…”

Section: Discussionmentioning

confidence: 99%

Simultaneous Ipsilateral Quadriceps and Triceps Tendon Rupture in a Patient with End-Stage Renal Failure

Moerenhout

Gkagkalis

Benoit

et al. 2018

Case Reports in Orthopedics

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Introduction Quadriceps tendon ruptures (QTR) frequently occur in patients with end-stage renal failure, while triceps brachii tendon ruptures (TTR) are less common. This is the first properly documented report of a simultaneous ipsilateral traumatic rupture of both of these tendons. Case Report A 50-year-old patient, on hemodialysis for end-stage renal failure, fell on his right side. He presented with sudden right knee and elbow pain, with functional impairment of both joints. X-rays showed avulsion-like osseous lesions on the olecranon and patella with a low-riding patella. Ultrasound confirmed complete quadriceps and triceps avulsion ruptures. Both lesions were treated surgically. Fixation was performed with anchors using the Krackow suture technique for both tendons. Postoperative clinical and radiological results were satisfactory, and follow-up was uneventful. The patient regained his preinjury functional level with a complete range of motion of both his knee and elbow. Discussion Isolated QTR and TTR are frequent lesions in chronic renal failure patients treated with hemodialysis. Simultaneous ipsilateral rupture of both tendons however is extremely rare and should therefore not be overlooked. Surgical treatment is recommended for complete ruptures.

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Distal biceps and triceps ruptures

Cited by 16 publications

References 55 publications

The Role of Deadlifts in Distal Biceps Brachii Tendon Ruptures: An Alternative Mechanism Described With YouTube Videos

The Role of Deadlifts in Distal Biceps Brachii Tendon Ruptures: An Alternative Mechanism Described With YouTube Videos

Chronic Distal Triceps Brachii Tendon Ruptures. A Systematic Review of Surgical Procedures and Outcomes

Simultaneous Ipsilateral Quadriceps and Triceps Tendon Rupture in a Patient with End-Stage Renal Failure

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