Operative Treatment of Elbow Injuries

pp 109-122

Biceps Tendon and Triceps Tendon Ruptures

  • Bruce M. Leslie
  • , Helen Ranger

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Distal biceps tendon rupture can lead to significant functional deficits. Anatomic repair of the tendon to the radial tuberosity reliably restores strength and endurance; however, the results may be better in injured dominant arms. Surgical treatment for partial tears also is effective at relieving pain and restoring strength. Complications are uncommon and can be avoided by paying careful attention to elbow anatomy and by limiting soft-tissue dissection.

Triceps tendon ruptures are rare injuries, but they are diagnosed easily by history and physical examination. Partial ruptures should be treated nonoperatively with an aggressive physical therapy program. Complete ruptures should be treated with surgical repair of the tendon to its attachment on the proximal ulna. Appropriately treated patients can expect good functional results with a low incidence of complications.