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Updated: Jan 31, 2026

Murine Flexor Tendon Injury and Repair Surgery
Published on: September 19, 2016
[Complete triceps tendon rupture; a rare tendon injury]
Femke Nawijn1,2, Benjamin L Emmink1, Jort Keizer1
1St. Antonius Ziekenhuis, afd. Heelkunde, Nieuwegein.
Triceps tendon ruptures are rare but can be missed. Early diagnosis and surgical repair with Krackow sutures, followed by progressive rehabilitation, lead to excellent functional recovery and minimal extension limitation.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Traumatology
Background:
- Triceps tendon ruptures are uncommon, accounting for only 1% of all tendon injuries.
- The rarity and subtle presentation of acute triceps ruptures can lead to delayed diagnosis.
- Sudden eccentric contraction is the most common mechanism of injury.
Purpose of the Study:
- To report a case of acute complete triceps tendon rupture.
- To highlight the diagnostic indicators and effective surgical management of triceps ruptures.
- To demonstrate the functional outcomes following timely intervention.
Main Methods:
- Case presentation of a 48-year-old male with acute triceps rupture after a fall.
- Surgical repair using Krackow sutures through olecranon drill holes.
- Postoperative management involving a brace and gradual increase in elbow flexion over six weeks.
Main Results:
- Successful surgical repair achieved 150 degrees of elbow flexion at three months post-operation.
- A minimal 5-degree extension limitation was noted.
- The Disabilities of the Arm, Shoulder and Hand (DASH) score was 10.5, indicating a good functional outcome.
Conclusions:
- Early diagnosis and prompt surgical treatment are crucial for managing acute triceps tendon ruptures.
- Krackow suture repair combined with structured rehabilitation yields excellent functional results.
- This approach minimizes long-term extension deficits and improves patient-reported outcomes.
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