The surgical management of distal triceps tendon ruptures: a systematic review

Alnaji, Omar; Erdogan, Safiya; Shanmugaraj, Ajaykumar; Al-Qahtani, Saad; Prada, Carlos; Leroux, Timothy; Khan, Moin

doi:10.1016/j.jse.2021.06.019

Cited by 8 publications

(8 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Suture anchors had the lowest rate of complication (7.7%), followed by transosseous sutures (15.2%) and direct repair (29.2%). Transosseous sutures had the highest rate of rerupture (4.3%) compared with suture anchors (2.3%) or direct repair (0%), which correlates with biomechanical studies demonstrating transosseous sutures to have weaker fixation strength and greater displacement with cyclic loading when compared with suture anchor fixation 34 .…”

Section: Elbowsupporting

confidence: 71%

What’s New in Sports Medicine

McKeithan

Lameire

Tagliero

et al. 2023

Journal of Bone and Joint Surgery

View full text Add to dashboard Cite

Section: Elbowsupporting

confidence: 71%

What’s New in Sports Medicine

McKeithan

Lameire

Tagliero

et al. 2023

Journal of Bone and Joint Surgery

View full text Add to dashboard Cite

“…Given the presence of a healed olecranon fracture, management of this complication was similar to management of an isolated triceps tendon rupture. Commonly used techniques include transosseous tunnel fixation through the olecranon or suture anchors and direct repair 10 . In our case, we used a well-described transosseous tunnel repair technique; however, given the presence of the olecranon plate, the repair was reinforced with suture augmentation through the plate.…”

Section: Discussionmentioning

confidence: 99%

“…I solated distal triceps tendon rupture without fracture of the proximal ulna is an uncommon orthopaedic injury, with a reported incidence of 6 per 1 million individuals 9,10 . Triceps tendon rupture after olecranon fixation without failure of bony fixation is exceptionally rare and, to the best of our knowledge, has not been previously reported in the literature.…”

Section: Discussionmentioning

confidence: 99%

Triceps Rupture After Olecranon Fixation with Proximal Ulna Plate and Suture Augmentation

Flores,

Sheridan,

Larson

et al. 2023

JBJS Case Connector

View full text Add to dashboard Cite

Case: Olecranon fractures treated with proximal ulna plate fixation and repairing the triceps with suture augmentation to the plate decrease the risk of “olecranon escape,” but may lead to failure through triceps rupture. In this case report, a rare complication of triceps rupture occurred, and the patient underwent triceps repair. Conclusion: When fixing olecranon fractures, surgeons should minimize triceps dissection for hardware placement. If subjected to significant force, a surgical insult to the tendon footprint for a better plate contact on the bone and the presence of suture augmentation may change the construct failure mechanism and result in triceps rupture as opposed to fracture redisplacement.

show abstract

“…Biomechanical analysis of 27 cadaveric elbows showed that anatomic repair better restores the insertional footprint under cyclic loading compared to other techniques [ 33 ]. However, suture anchor repair showed lower re-rupture rates in a recent systematic review including 565 triceps tendon ruptures [ 1 ]. As we could show a bipartite insertion of the triceps muscle, a double-row technique as a close anatomical reconstruction must be discussed and should be analyzed biomechanically in further studies.…”

Section: Discussionmentioning

confidence: 99%

Anatomic evaluation of the triceps tendon insertion at the proximal olecranon regarding placement of fracture fixation devices

et al. 2022

View full text Add to dashboard Cite

Purpose Olecranon fractures, especially with a small proximal fragment, remain a surgical challenge. Soft tissue irritation and affection of the triceps muscle bear a risk of complications. In order to find an area for a soft-tissue sparing placement of implants in the treatment of olecranon fractures, we aimed to define and measure the segments of the proximal olecranon and evaluate them regarding possible plate placement. Methods We investigated 82 elbow joints. Ethical approval was obtained from the local ethics committee, After positioning in an arm holder and a posterior approach we described the morphology of the triceps footprint, evaluated and measured the surface area of the triceps and posterior capsule and correlated the results to easily measurable anatomical landmarks. Results We found a bipartite insertional footprint with a superficial tendinous triceps insertion of 218.2 mm2 (± 41.2, range 124.7–343.2), a capsular insertion of 159.3 mm2 (± 30.2, range 99.0–232.1) and a deep, muscular triceps insertion area of 138.1 mm2 (± 30.2, range 79.9–227.5). Olecranon height was 26.7 mm (± 2.3, range 20.5–32.2), and olecranon width was 25.3 mm (± 2.4, range 20.9–30.4). Average correlation between the size of the deep insertion and ulnar (r = 0.314) and radial length (r = 0.298) was obtained. Conclusions We demonstrated the bipartite morphology of the distal triceps footprint and that the deep muscular triceps insertion area by its measured size could be a possible site for the placement of fracture fixations devices. The size correlates with ulnar and radial length.

show abstract

The surgical management of distal triceps tendon ruptures: a systematic review

Cited by 8 publications

References 34 publications

What’s New in Sports Medicine

What’s New in Sports Medicine

Triceps Rupture After Olecranon Fixation with Proximal Ulna Plate and Suture Augmentation

Anatomic evaluation of the triceps tendon insertion at the proximal olecranon regarding placement of fracture fixation devices

Contact Info

Product

Resources

About