RESEARCH ARTICLE


Traumatic Rupture of the Distal Triceps Tendon (A Series of 7 Cases)



H. Neumann1, A.-P. Schulz2, S. Breer1, M. Faschingbauer1, B. Kienast*, 1, 2
1 Department of Traumatology, Orthopaedics and Sports Traumatology, BG Trauma Center Hamburg, Germany
2 Department of Traumatology & Orthopaedics, University of Schleswig-Holstein, Campus Lübeck, Germany


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© Neumann et al.; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to this author at the BG Trauma Center Hamburg, Bergedorfertstr. 10, D-21033 Hamburg, Germany; Tel: 040-73062241; Fax: 040-41466969; Email: bekienast@web.de


Abstract

Even non-traumatic ruptures of the triceps tendon are rare, surgical therapy should be recommended in all cases, because of poor results after non-operative treatment. A golden standard for the surgical procedure is not established. A small series of traumatic distal tendon ruptures was treated surgical in our hospital and was followed up after 12 months concerning their function. Very good and good results could be found with a strong reintegration of the tendon by using transosseus sutures with non resorbable suture material. The refixation with suture anchors showed disappointing results with early pull-outs of the anchor. Revision with screw augmentation with a washer had to be performed. Concerning the biomechanical forces, which show up on the olecranon (up to 40 NM), the refixation of the triceps tendon has proved to be extremely resistant against pull out forces. The good results by using non absorbable transosseus sutures led to a standardized procedure in our trauma center, even the rupture is not traumatic.

Keywords: Avulsion, refixation, rupture, tendon, traumatic, triceps.