Triceps tendon avulsion: Difference between revisions
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Examination of the patients can reveal swelling , pain and a palpable gap proximal to the olecranon. | |||
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== Physical therapy management == | == Physical therapy management == | ||
Revision as of 17:14, 22 May 2011
Definition / Description[edit | edit source]
Avulsion of the M. triceps brachii is an uncommon injury. [1][2][3][4][5] When there is a disruption from the triceps at the osseus tendon insertion at the elbow, it’s called an avulsion of the triceps. This avulsion, is the most common disruption and might be characterized by a small “flake” of bone which is avulsed from the olecranon at the point where the triceps inserts. This is also called the ‘flake sign’. Intramuscular or musculotendinous disruption is labeled as a rupture of the triceps and occurs less often.[2] [3][4][5]
Epidemiology / Etiology[edit | edit source]
Avulsion of the triceps tendon may be caused by a trauma, but can also occur spontaneously or after surgical repair from a previous injury. [1] People who suffer from chronic renal failure or hyperparathyroidism may be more at risk for tendon avulsion. [1][5] A fall on the outstretched hand with the elbow in mid-flexion, with or without a concomitant direct blow to the posterior aspect of the elbow can also result in an avulsion. Sometimes avulsion of the triceps is associated with weightlifting, humeral fractures, corticosteroid injections to the triceps region, olecranon bursitis and anabolic steroid use. [1][5]
Clinical presentation[edit | edit source]
Examination of the patients can reveal swelling , pain and a palpable gap proximal to the olecranon. [3]
Physical therapy management[edit | edit source]
References[edit | edit source]
- ↑ 1.0 1.1 1.2 1.3 1.Michelle A. et al., Early mobilization using dynamic splinting with acute triceps tendon avulsion. Journal of hand therapy, 2005; 18 : 365-371
- ↑ 2.0 2.1 2.Clifford P.D. et al., Isolated long-head triceps brachii tendon avulsion in a surfer detected at MR imaging. Skeletal radiology, 2009 ; 38 : 77-80
- ↑ 3.0 3.1 3.2 3.Rajasekhar C. et al., Avulsion of the triceps tendon. Emergency Medicine Journal , 2002 ; 19 : 271-272.
- ↑ 4.0 4.1 4.Sharma S.C. et al., Missed diagnosis of triceps tendon rupture : a case report and review of literature. Journal of orthopaedic Surgery , 2005 ;13(3) : 307-309.
- ↑ 5.0 5.1 5.2 5.3 5.Singh R.K. et al., Complete rupture of the triceps brachii muscle. British Journal of Sports Medicine, 2002 ; 36 : 467- 469.
