Download PDF
J Hand Microsurg 2018; 10(01): 046-048
DOI: 10.1055/s-0037-1608692
Case Report
Thieme Medical and Scientific Publishers Private Ltd.

A Rare Case of Triceps Brachii Injury after Electrocution

Debora Lana
1   Department of Orthopaedics and Traumatology, University of Modena and Reggio Emilia, Modena, Italy
,
Luigi Tarallo
1   Department of Orthopaedics and Traumatology, University of Modena and Reggio Emilia, Modena, Italy
,
Fabio Catani
1   Department of Orthopaedics and Traumatology, University of Modena and Reggio Emilia, Modena, Italy
› Author Affiliations
Further Information

Publication History

Received: 13 July 2017

Accepted: 28 August 2017

Publication Date:
29 November 2017 (online)

    Permissions and Reprints

Abstract

Injuries of the triceps brachii muscle are a rare entity and mostly concern its distal tendon. These represent the least common of all muscle and tendons injuries. The most common reported causes are repeated strong physical efforts, a fall on an outstretched forearm when a sudden deceleration is put on contract triceps, or a direct trauma. High-dosed and prolonged corticosteroid therapies, repeated local steroid injections, chronic renal failure, diabetes, rheumatoid arthritis, hyperparathyroidism, and osteogenesis imperfecta are reported as systemic causes. Even rarer are lesions of muscle fibers and avulsions or rupture at its musculotendinous junction, and these can be caused by direct trauma or by forced elbow flexion during triceps contraction. To the best of our knowledge, there is no article in the literature describing this type of injury that occurred after electrocution. In this article, we report an uncommon case of intramuscular tear associated with insertional distal tendon injury occurred in a man survived to high-voltage electric discharge.

Keywords

electrocution - muscle - injury - triceps brachii
 

  • References

  • 1 Singh RK, Pooley J. Complete rupture of the triceps brachii muscle. Br J Sports Med 2002; 36 (06) 467-469
    CrossrefPubMedGoogle Scholar
  • 2 Anzel SH, Covey KW, Weiner AD, Lipscomb PR. Disruption of muscles and tendons; an analysis of 1,014 cases. Surgery 1959; 45 (03) 406-414
    PubMedGoogle Scholar
  • 3 Sharma P, Vijayargiya M, Tandon S, Gaur S. Triceps tendon avulsion: a rare injury. Ethiop J Health Sci 2014; 24 (01) 97-99
    CrossrefPubMedGoogle Scholar
  • 4 de Waal MalefijtMC, Beeker TW. Avulsion of the triceps tendon in secondary hyperparathyroidism. A case report. Acta Orthop Scand 1987; 58 (04) 434-435
    CrossrefPubMedGoogle Scholar
  • 5 Scheiderer B, Lacheta L, Imhoff AB, Siebenlist S. V-shaped double-row distal triceps tendon repair: a novel technique using unicortical button fixation. Eur J Med Res 2017; 22 (01) 9
    CrossrefPubMedGoogle Scholar
  • 6 Bach Jr BR, Warren RF, Wickiewicz TL. Triceps rupture. A case report and literature review. Am J Sports Med 1987; 15 (03) 285-289
    CrossrefPubMedGoogle Scholar
  • 7 Aso K, Torisu T. Muscle belly tear of the triceps. Am J Sports Med 1984; 12 (06) 485-487
    CrossrefPubMedGoogle Scholar
  • 8 O'Driscoll SW. Intramuscular triceps rupture. Can J Surg 1992; 35 (02) 203-207
    PubMedGoogle Scholar
  • 9 Tarsney FF. Rupture and avulsion of the triceps. Clin Orthop Relat Res 1972; 83 (83) 177-183
    CrossrefPubMedGoogle Scholar
  • 10 Zaidenberg EE, Gallucci GL, Boretto JG, De Carli P. Hindawi Publishing Corporation. Simultaneous bilateral rupture of the triceps tendon in a renal transplant patient. Case Rep Orthop 2015; 2015: 903690
    PubMedGoogle Scholar
  • 11 Tarallo L, Zambianchi F, Mugnai R, Costanzini CA, Catani F. Distal triceps tendon repair using Krakow whipstitches, K wires, tension band and double drilling technique: a case report. J Med Case Reports 2015; 9: 36
    CrossrefPubMedGoogle Scholar
  • 12 Wagner JR, Cooney WP. Rupture of the triceps muscle at the musculotendinous junction: a case report. J Hand Surg Am 1997; 22 (02) 341-343
    PubMedGoogle Scholar