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Redirection Using Double Pulley Technique for Snapping Triceps Tendon: A Case Report and Technique Note
Baoxiang Zhang1,2, Hao Zhang2,3, Qiang Zhang2
1Medical School of Chinese PLA, Beijing, China.
Orthopaedic Surgery
|November 17, 2020
Summary
Snapping triceps tendon, a condition causing elbow extension weakness, can be treated by redirecting the tendon. A novel technique using a two-strand-overhand locking knot showed promising results in a case study.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Anatomy
Background:
- Snapping triceps tendon is an emerging clinical issue linked to various pathological factors.
- Causes include genetic variations, post-traumatic alignment issues, and other factors, leading to snapping sensations and elbow extension weakness.
- Current treatments involve tendon resection or redirection.
Observation:
- A 19-year-old male presented with post-traumatic dislocation of the distal lateral triceps tendon.
- Symptoms included a snapping sensation and weakness in left elbow extension.
- The patient underwent surgical repair using a two-strand-overhand locking knot and double pulley technique.
Findings:
- The surgical technique successfully redirected the snapping triceps tendon.
- The patient experienced a full recovery without discomfort post-operation.
Implications:
- This tendon fixing and redirection technique, previously used for rotator cuff tears, offers a viable treatment for snapping triceps tendon.
- The method shows potential for excellent clinical outcomes in managing this condition.
