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Published in: Strategies in Trauma and Limb Reconstruction 1/2009

Open Access 01-04-2009 | Technical Report

Combined surgical treatment for missed rupture of triceps tendon associated with avulsion of the ulnar collateral ligament and flexor-pronator muscle mass

Authors: Bulent Daglar, Onder M. Delialioglu, Erman Ceyhan, Okyar Altas, Kenan Bayrakci, Ugur Gunel

Published in: Strategies in Trauma and Limb Reconstruction | Issue 1/2009

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Abstract

Triceps tendon ruptures are rare injuries. Coexistence of ipsilateral ulnar collateral ligament injury is even rarer. Here, we describe an unusual combination injury to elbow of a 39-year-old male construction worker consisting of triceps tendon rupture, avulsion of elbow ulnar collateral ligament and flexor pronator muscle origin ipsilaterally. A simultaneous repair and reconstruction of all damaged structures was proposed with individualized postoperative rehabilitation. Return to pre-injury level of activities obtained with this treatment protocol. High degree of suspicion and careful examination were needed to prevent missed diagnosis and prolonged instability which may be inevitable after inappropriate treatment of such injury.
Literature
1.
go back to reference Tatebe M, Horii E, Nakamura R (2007) Chronically ruptured triceps tendon with avulsion of the medial collateral ligament: a report of two cases. J Shoulder Elbow Surg 16(1):5–7CrossRef Tatebe M, Horii E, Nakamura R (2007) Chronically ruptured triceps tendon with avulsion of the medial collateral ligament: a report of two cases. J Shoulder Elbow Surg 16(1):5–7CrossRef
2.
go back to reference Stewart AM, Lervick GN, Levine WN (2002) Techniques for ulnar collateral ligament reconstruction in athletes. Curr Opin Orthop 13:298–303CrossRef Stewart AM, Lervick GN, Levine WN (2002) Techniques for ulnar collateral ligament reconstruction in athletes. Curr Opin Orthop 13:298–303CrossRef
3.
go back to reference Sierra RJ et al (2006) Acute triceps ruptures: case report and retrospective chart review. J Shoulder Elbow Surg 15(1):130–134PubMedCrossRef Sierra RJ et al (2006) Acute triceps ruptures: case report and retrospective chart review. J Shoulder Elbow Surg 15(1):130–134PubMedCrossRef
4.
go back to reference Levy M, Goldberg I, Meir I (1982) Fracture of the head of the radius with a tear or avulsion of the triceps tendon: a new syndrome? J Bone Joint Surg Br 64B(1):70–72 Levy M, Goldberg I, Meir I (1982) Fracture of the head of the radius with a tear or avulsion of the triceps tendon: a new syndrome? J Bone Joint Surg Br 64B(1):70–72
5.
go back to reference van Riet RP et al (2003) Surgical treatment of distal triceps ruptures. J Bone Joint Surg Am 85-A(10):1961–1967PubMed van Riet RP et al (2003) Surgical treatment of distal triceps ruptures. J Bone Joint Surg Am 85-A(10):1961–1967PubMed
6.
go back to reference Farrar EL, Lippert FG (1981) Avulsion of the triceps tendon. Clin Orthop Rel Res 161:242–246 Farrar EL, Lippert FG (1981) Avulsion of the triceps tendon. Clin Orthop Rel Res 161:242–246
7.
go back to reference Sharma SC et al (2005) Missed diagnosis of triceps tendon rupture: a case report and review of literature. J Orthop Surg (Hong Kong) 13:307–309 Sharma SC et al (2005) Missed diagnosis of triceps tendon rupture: a case report and review of literature. J Orthop Surg (Hong Kong) 13:307–309
8.
go back to reference Alcid JG, Ahmad CS, Lee TQ (2004) Elbow anatomy and structural biomechanics. Clin Sports Med 23:503–517PubMedCrossRef Alcid JG, Ahmad CS, Lee TQ (2004) Elbow anatomy and structural biomechanics. Clin Sports Med 23:503–517PubMedCrossRef
9.
go back to reference Cohen MS, Bruno RJ (2001) The collateral ligaments of the elbow: anatomy and clinical correlation. Clin Orthop Relat Res 383:123–130PubMedCrossRef Cohen MS, Bruno RJ (2001) The collateral ligaments of the elbow: anatomy and clinical correlation. Clin Orthop Relat Res 383:123–130PubMedCrossRef
10.
go back to reference Pina A, Garcia I, Sabater M (2002) Traumatic avulsion of the triceps brachii. J Orthop Trauma 16:273–276PubMedCrossRef Pina A, Garcia I, Sabater M (2002) Traumatic avulsion of the triceps brachii. J Orthop Trauma 16:273–276PubMedCrossRef
11.
go back to reference Madsen M et al (2006) Surgical anatomy of the triceps brachii tendon: anatomical study and clinical correlation. Am J Sports Med 34:1839–1843PubMedCrossRef Madsen M et al (2006) Surgical anatomy of the triceps brachii tendon: anatomical study and clinical correlation. Am J Sports Med 34:1839–1843PubMedCrossRef
12.
go back to reference Windisch G, Tesch NP, Grechenig W, Peicha G (2006) The triceps brachii muscle and its insertion on the olecranon. Med Sci Monit 12:290–294 Windisch G, Tesch NP, Grechenig W, Peicha G (2006) The triceps brachii muscle and its insertion on the olecranon. Med Sci Monit 12:290–294
Metadata
Title
Combined surgical treatment for missed rupture of triceps tendon associated with avulsion of the ulnar collateral ligament and flexor-pronator muscle mass
Authors
Bulent Daglar
Onder M. Delialioglu
Erman Ceyhan
Okyar Altas
Kenan Bayrakci
Ugur Gunel
Publication date
01-04-2009
Publisher
Springer Milan
Published in
Strategies in Trauma and Limb Reconstruction / Issue 1/2009
Print ISSN: 1828-8936
Electronic ISSN: 1828-8928
DOI
https://doi.org/10.1007/s11751-009-0057-0

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