Functional outcomes and complications after surgical repair of triceps tendon rupture
- 714 Downloads
The purpose of this study was to present the functional outcomes and complications after primary repair of triceps tendon ruptures (TTR).
Patients and methods
A retrospective review was performed on eight patients (six males, two females) who underwent transosseous suture repair for TTR. Mayo elbow score, range of motion, muscle strength and patient satisfaction were evaluated after at least 1-year follow-up.
The mean age of the patients was 25.1 years (range 16–42). The mechanism of injury was a sports injury in three patients, simple fall (fall on outstretched hand) in four and motorcycle accident in one patient. Two patients had associated radial head fracture, and one had a radial head fracture and trochlear fracture, and one patient had a medial epicondyle fracture. In two patients the diagnosis was missed at the initial admission to ED (delay, 20 and 75 days). Only one patient, who was a bodybuilder, had a history of anabolic steroid use, and the rest had no underlying disease or a predisposing factor for TTR. One of the patients with radial head fracture (displaced three parts) underwent simultaneous fixation using two headless screws. Patients were followed up for a mean of 18.8 months (range 12–26). At the final follow-up, all patients were satisfied with the treatment and the Mayo elbow score was excellent in six patients and good in two patients. There was 5° extension loss in two patients. Triceps muscle strength was 5/5 in all patients. Ulnar nerve entrapment occurred in one patient, so ulnar nerve release and anterior transposition were performed 3 months after surgery. Posterior interosseous nerve palsy occurred in one patient who underwent simultaneous radial head fracture fixation, but eventually returned back to normal 3 months postoperatively. All patients returned to their previous level of activity and occupation.
Transosseous suture technique is a safe and effective treatment method for acute TTR with a low rate of complications and excellent functional outcomes.
Level of evidence
Retrospective case series, Level IV.
KeywordsTriceps tendon rupture Surgery Mayo elbow score
Compliance with Ethical Standards
Conflict of interest
All authors have no conflict of interest.
No funds have been received for this study.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed consent was obtained for all patients.
- 21.Sharma SC, Singh R, Goel T, Singh H (2005) Missed diagnosis of triceps tendon rupture: a case report and review of literature. J Orthop Surg (Hong Kong) 13(3):307–309Google Scholar
- 25.Daglar B, Delialioglu OM, Ceyhan E, Altas O, Bayrakci K, Gunel U (2009) Combined surgical treatment for missed rupture of triceps tendon associated with avulsion of the ulnar collateral ligament and flexor-pronator muscle mass. Strateg Trauma Limb Reconstr 4(1):35–39. doi: 10.1007/s11751-009-0057-0 CrossRefGoogle Scholar