Johns William L, Miltenberg Benjamin H, Baumann Anthony N, Kermanshahi Nazanin, Muchintala Rahul R, Cohen Steven B
Rothman Orthopaedic Institute, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.
College of Medicine, Northeast Ohio Medical University, Rootstown, Ohio, USA.
Am J Sports Med. 2025 Jul;53(9):2240-2247. doi: 10.1177/03635465241283970. Epub 2025 Jan 10.
Distal triceps tendon injuries are relatively rare injuries, often occurring in highly active patients with physically demanding jobs or lifestyles. Information on return to work, sport, and activity is essential for patient education and counseling after a distal triceps tendon rupture.
To determine the rates of return to work, sport, and sport-related activity after distal triceps tendon repair.
Systematic review; Level of evidence, 4.
PubMed, CINAHL, MEDLINE, Web of Science, and SPORTDiscus were queried from the earliest record through January 12, 2024. Articles were included if they examined return to various activities (exercise, sport, work, or military duty) after distal triceps tendon repair. Data on return to sport/work/activity were collected as well as information on patient satisfaction, pre-existing medical history or medication use (ie, anabolic steroids or corticosteroids), and complications. Article quality was assessed via the Methodological Index for Non-Randomized Studies (MINORS) scale.
Of 164 articles initially retrieved, 10 retrospective studies were included. Patients (n = 318; 74.2% male, 25.8% female) who underwent distal triceps tendon repair had a mean age of 44.7 ± 5.5 years with a mean follow-up time of 52.6 ± 21.4 months. After distal triceps tendon repair, 93.3% of patients (112/120) returned to sport, 95.3% (81/85) returned to military duty, and 92.6% (100/108) returned to work. Of the studies that evaluated satisfaction, the majority of patients reported high satisfaction after surgery. The overall complication rate (ranging from persistent pain and wound complications to nerve injuries and reruptures) after distal triceps tendon repair was 18.0%, the rerupture rate (complete and partial) was 7.2%, and the reoperation rate was 3.9%, with all partial reruptures undergoing nonoperative care.
A distal triceps tendon rupture is a rare but potentially challenging injury, traditionally occurring in an active population, and often requires surgical repair. Importantly, >90% of an active-duty military population, athletes, and the general workforce was able to return to sport or their respective activity after surgery. Furthermore, there was high patient satisfaction and low rates of complications and reoperations after distal triceps tendon repair.
肱三头肌远端肌腱损伤相对少见，常发生于从事体力要求较高工作或生活方式活跃的患者。肱三头肌远端肌腱断裂后，关于重返工作、运动和活动的信息对于患者教育和咨询至关重要。
确定肱三头肌远端肌腱修复后重返工作、运动和与运动相关活动的比例。
系统评价；证据等级，4级。
检索了PubMed、CINAHL、MEDLINE、Web of Science和SPORTDiscus数据库，检索时间从最早记录至2024年1月12日。纳入的文章需研究肱三头肌远端肌腱修复后重返各种活动（运动、体育、工作或军事任务）的情况。收集了关于重返运动/工作/活动的数据以及患者满意度、既往病史或药物使用情况（即合成代谢类固醇或皮质类固醇）和并发症的信息。通过非随机研究方法学指数（MINORS）量表评估文章质量。
最初检索到164篇文章，纳入了10项回顾性研究。接受肱三头肌远端肌腱修复的患者（n = 318；男性占74.2%，女性占25.8%）平均年龄为44.7±5.5岁，平均随访时间为52.6±21.4个月。肱三头肌远端肌腱修复后，93.3%的患者（112/120）重返运动，95.3%（81/85）重返军事任务，92.6%（100/108）重返工作。在评估满意度的研究中，大多数患者术后报告高度满意。肱三头肌远端肌腱修复后的总体并发症发生率（从持续疼痛、伤口并发症到神经损伤和再断裂）为18.0%，再断裂率（完全和部分）为7.2%，再次手术率为3.9%，所有部分再断裂均接受非手术治疗。
肱三头肌远端肌腱断裂是一种罕见但可能具有挑战性的损伤，传统上发生在活跃人群中，通常需要手术修复。重要的是，超过90%的现役军人、运动员和普通劳动者术后能够重返运动或各自活动。此外，肱三头肌远端肌腱修复后患者满意度高，并发症和再次手术率低。
