Negi Deepak Kumar, Bansal Arjit, Thami Tarkik, Suthar Manoj Kumar, Aduri Tharun Teja
Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
Trauma Case Rep. 2025 Apr 15;57:101169. doi: 10.1016/j.tcr.2025.101169. eCollection 2025 May.
Injury to the triceps brachii tendon is relatively rare (<1 % of all tendon ruptures). Partial tears of triceps are seen in indirect injury mechanisms usually involving the superficial part of the muscle with intact deep medial head, which may require operative intervention in high-demand individuals.
A 36-year-old right-handed athlete with chronic complex triceps tear with a history of anabolic steroid use managed operatively with augmented primary repair using fibre-wire with excellent outcome at 2-year follow-up. We describe a novel technique of using a transosseous fibre-wire to offload the repair and augment the repair by anconeus fascia transposition over the repair site.
Even with chronic triceps tear, primary repair with offloading is possible if ends can be approximated without tension and can give excellent outcomes.
肱三头肌腱损伤相对少见(占所有肌腱断裂的比例不到1%)。肱三头肌部分撕裂见于间接损伤机制,通常累及肌肉浅层,而深层内侧头完整,对于高需求个体可能需要手术干预。
一名36岁右利手运动员,患有慢性肱三头肌复杂撕裂,有使用合成代谢类固醇的病史,采用带增强的初次修复手术治疗,使用纤维线,在2年随访时效果极佳。我们描述了一种新技术,即使用经骨纤维线减轻修复部位的负荷,并通过在修复部位上方转位肘肌筋膜来增强修复效果。
即使是慢性肱三头肌撕裂,如果断端能够无张力对合,进行带负荷的初次修复也是可行的,并且可以取得极佳的效果。