Abstract
The unilateral rupture of the triceps brachii tendon is a rare lesion representing 1% of all tendon injuries. The most common causes are the result of a contraction against resistance (especially weightlifters) and direct trauma. It has also been associated with systemic diseases such as diabetes mellitus, chronic renal failure, secondary hyperparathyroidism, and use of systemic corticosteroids. Simultaneous bilateral rupture of the triceps tendons is less frequent and has been described in association with chronic metabolic disorders, especially in those patients on hemodialysis. This paper presents a case of bilateral triceps tendon rupture of a 36-year-old woman with renal transplantation secondary to chronic renal failure. Early surgical repair was performed using a bone tunnel technique with a nonabsorbable suture. Clinically active extension with 135 degrees of range of motion was achieved.
Highlights
Simultaneous bilateral complete rupture of the triceps tendons in patients with chronic renal failure is a rare injury; to our knowledge, only 3 cases have been reported in the international literature [3,4,5]
This paper describes a case of simultaneous bilateral triceps tendon rupture in a patient with renal transplantation secondary to chronic renal failure
Finlayson et al described the association between the chronic acidosis in renal failure and the connective tissue elastosis [9]
Summary
The unilateral rupture of the triceps brachii tendon is a rare lesion representing 1% of all tendon injuries. The most common causes are the result of a contraction against resistance (especially weightlifters) and direct trauma [1]. It has been associated with systemic diseases such as diabetes mellitus, chronic renal failure, secondary hyperparathyroidism, and use of systemic corticosteroids [2]. Simultaneous bilateral complete rupture of the triceps tendons in patients with chronic renal failure is a rare injury; to our knowledge, only 3 cases have been reported in the international literature [3,4,5]. This paper describes a case of simultaneous bilateral triceps tendon rupture in a patient with renal transplantation secondary to chronic renal failure
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