Yalcin Sercan, Maier Jacob, Schickendantz Mark
Department of Orthopaedic Surgery, Cleveland Clinic Foundation, Garfield Heights, Ohio, USA.
College of Medicine and Life Sciences, The University of Toledo, Toledo, Ohio, USA.
Video J Sports Med. 2022 Mar 1;2(2):26350254211032658. doi: 10.1177/26350254211032658. eCollection 2022 Mar-Apr.
Triceps tendon tear has a low incidence. Therefore, surgical repair of the triceps tendon is performed only by a small number of orthopedic surgeons.
To provide information regarding the current treatment algorithm and surgical technique.
The triceps tendon is exposed through a posterior approach. The tendon is then longitudinally split to expose the deep degenerated tissue. The degenerated tissue and any existing osteophytes are removed. The superficial layer of the tendon is sewn back down to the deeper layer of the tendon. The tendon is advanced distally, and the split incision is closed. This is followed by double-row repair with suture anchors.
Excellent clinical outcomes have been reported with re-rupture rates of around 7% at a 4-year follow-up.
DISCUSSION/CONCLUSION: Partial and complete ruptures of the triceps tendon require surgical treatment. Current surgical treatment options yield excellent clinical outcomes.
肱三头肌腱撕裂的发生率较低。因此，只有少数骨科医生进行肱三头肌腱的手术修复。
提供有关当前治疗方案和手术技术的信息。
通过后路暴露肱三头肌腱。然后将肌腱纵向劈开以暴露深层退变组织。清除退变组织和任何现有的骨赘。将肌腱的表层缝合回肌腱的深层。将肌腱向远端推进，关闭劈开的切口。随后用缝合锚钉进行双排修复。
据报道临床效果极佳，4年随访时再破裂率约为7%。
讨论/结论：肱三头肌腱的部分和完全断裂需要手术治疗。目前的手术治疗方案可产生极佳的临床效果。
