Bilateral triceps rupture: a review of the literature and case series

Abstract

Introduction Distal triceps tendon injuries are the least common of tendon injuries, comprising 1% all cases. This injury is more common in active men, between 30-50 years old. Risk factors include anabolic steroid use, local steroid injections and hyperparathyroidism. The principal mechanism of injury is an eccentric load applied to a contracting triceps. This injury is often misdiagnosed and thus far, bilateral injury has not been reported. Methods Retrospective description of two patients diagnosed with bilateral distal triceps injury with different presentations, treated surgically at a surgical center in the USA. Electronic records were reviewed for patient demographics, rehabilitation and clinical outcomes. Discussion The triceps tendon may be weakened by stem cell or corticoid injections or may cause tendinosis. Early diagnosis and surgical repair with a Krackow-type suture configuration in the triceps and parallel bone tunneling is a safe technique with a secure repair. Graded rehabilitation can offer patients good outcomes for range of motion and strength. Clinicians can explain that patients can expect to return to sport and activity. Conclusion Triceps tendon rupture is a rare, significant injury that requires a secure surgical repair with bone tunnelling. Our experience careful post-operative rehabilitation with gradual motion and strengthening is the key for successful recovery.