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Triceps Tendon Ruptures: A Systematic Review.

John C Dunn¹, Nicholas Kusnezov¹, Austin Fares²

¹1 William Beaumont Army Medical Center, Fort Bliss, TX, USA.

Hand (New York, N.Y.)

|August 24, 2017

Summary

This summary is machine-generated.

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Triceps tendon ruptures are rare but linked to renal disease and steroid use. Surgical repair offers excellent outcomes with low rerupture rates, especially when the Dunn-Kusnezov Sign is identified on X-rays.

Area of Science:

Orthopedic Surgery
Sports Medicine
Radiology

Background:

Triceps tendon ruptures (TTR) are infrequent injuries.
Systematic review focusing on surgically treated TTR cases.
Analysis of diagnostic signs, outcomes, and risk factors.

Purpose of the Study:

Classify diagnostic signs for TTR.
Report outcomes and rerupture rates.
Identify predisposing risk factors for TTR.

Main Methods:

Systematic literature search of surgical TTR cases.
Inclusion of 40 articles, totaling 262 patients.
Data analysis of comorbidities, Dunn-Kusnezov Sign (DKS), outcomes, and rerupture rates.

Main Results:

Keywords:

avulsion renal disease rupture steroid triceps tendon

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Average age at injury: 45.6 years.
Common comorbidities: renal disease (10%) and anabolic steroid use (7%).
DKS present in 61%-88% of lateral elbow X-rays; 89% returned to preinjury activity; 6% rerupture rate.

Conclusions:

TTR is uncommon, with renal disease and anabolic steroid use as risk factors.
Scrutinize lateral elbow radiographs for DKS in patients with extension weakness.
Surgical repair yields excellent outcomes and low rerupture rates.