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
Lateral
Frontal
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Info

Plain film unremarkable. 

This study is a stack
Oblique
This study is a stack
Longitudinal
This study is a stack
Transverse
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Longitudinal
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Info

The symptomatic triceps tendon is retracted about 18 mm and curled up. Equivocal preservation of some deeper fibres. 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 haematoma. 

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. 

Frontal
Oblique
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Follow-up post surgical anchoring of the triceps tendon. 

Case Discussion

High-grade triceps tendon injuries are ideally managed operatively. 

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