Arthroscopic Repair of Distal Triceps Tendon Rupture Provides Excellent Functional Outcomes With Minimal...

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Tendon Repair

Background:

• Distal triceps tendon tears can significantly impact elbow function and quality of life.
• Surgical repair is often indicated for full-thickness tears to restore strength and function.
• Arthroscopic techniques offer potential advantages in minimally invasive repair.

Purpose of the Study:

• To evaluate the outcomes of arthroscopic distal triceps tendon repair using a double-row anatomic footprint technique.
• To assess the safety and efficacy of this surgical approach.

Main Methods:

• Retrospective review of 16 patients undergoing arthroscopic distal triceps tendon repair (2012-2022).
• Inclusion criteria: full-thickness tear confirmed by MRI, arthroscopic repair, and minimum 24-month follow-up.
• Outcome measures included retear/reoperation rates, pain scores (VAS), functional scores (MEPS, SANE), and muscle strength.

Main Results:

• All 16 patients achieved intact triceps tendons at a mean follow-up of 79.3 months.
• Significant reduction in mean VAS pain score (4 to 0, P < .001).
• Excellent functional outcomes with mean MEPS of 100 and mean SANE of 98; no retears, reoperations, or major complications reported.

Conclusions:

• Arthroscopic distal triceps tendon repair with a double-row technique is a safe and effective treatment option.
• The procedure leads to excellent pain relief, functional recovery, and minimal complications.
• This technique allows for addressing concomitant elbow pathologies effectively.