Weber Sabrina, Zimmermann Bernd, Bühler Gian, Stillhard Philipp F
Department of Orthopaedic Surgery, Kantonsspital Graubünden, 7000 Chur, Switzerland.
J Surg Case Rep. 2021 Mar 29;2021(3):rjab058. doi: 10.1093/jscr/rjab058. eCollection 2021 Mar.
The distal triceps tendon rupture is a rare finding. Only 1% of tendon ruptures are related to it. The triceps brachii muscle has three parts. All of them insert together at the posterior surface of olecranon. Mostly, the tendon ruptured at this level of insertion. The typically trauma mechanism is a fall on the hand with fully extended elbow or a direct trauma. There are also some cases described after weightlifting or secondary due to insufficiency after total joint replacement of the elbow. The diagnosis is based on clinical findings. Ultrasound or magnetic resonance imaging diagnostic is secondary but might help to differentiate between partial or complete rupture as well as to assess tendon retraction. The diagnosis should be treated operatively. Until today, there is no standard of art of surgery techniques. We describe three cases with traumatic triceps tendon rupture fixed by a transosseous refixation.
肱三头肌远端肌腱断裂是一种罕见的情况。仅1%的肌腱断裂与之相关。肱三头肌有三个部分。它们全部共同附着于尺骨鹰嘴的后表面。大多数情况下,肌腱在这个附着水平处断裂。典型的创伤机制是肘部完全伸展时手部着地摔倒或直接创伤。也有一些病例是在举重后或肘部全关节置换术后因功能不全继发出现的。诊断基于临床表现。超声或磁共振成像诊断是次要的,但可能有助于区分部分或完全断裂以及评估肌腱回缩情况。该诊断应进行手术治疗。直到如今,手术技术尚无标准术式。我们描述了三例通过经骨重新固定治疗创伤性肱三头肌肌腱断裂的病例。