High-grade tear of the distal triceps tendon

Case contributed by Bálint Botz
Diagnosis certain

Presentation

Elbow injury sustained during weightlifting exercise.

Patient Data

Age: 35 years
Gender: Male

Plain film unremarkable. 

The symptomatic triceps tendon is retracted about 18 mm and curled up. Equivocal preservation of some deeper fibers. The triceps muscle belly is not retracted and has preserved echogenicity (not shown). Note the normal echostructure and anatomy of the asymptomatic right side. 

Thin anechoic fluid along the tendon indicates resultant hematoma. 

Altogether findings are in line with a high-grade triceps tendon tear and avulsion. 
 

The triceps tendon was surgically repaired and reattached using an anchoring screw. 

Follow-up post surgical anchoring of the triceps tendon. 

Case Discussion

High-grade triceps tendon injuries are ideally managed operatively. 

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