Triceps Tendon Anatomic Repair Utilizing the “Suture Bridge” Technique

Abstract

Triceps tendon ruptures are uncommon injuries, but they typically require surgical repair. Multiple primary repair techniques are available, including transosseous, suture anchor, and anatomic repairs. The technique described here, the “suture bridge” repair, provides an anatomic repair of the distal triceps tendon to its footprint. It has the potential advantages of increased load to failure, better footprint coverage, higher load resistance, and allows for early motion.

Keywords

suture bridge - triceps - rupture - repair - anatomic

• References

• 1 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
• 2 Jaiswal A, Kacchap ND, Tanwar YS, Kumar D, Kumar B. Rupture of the triceps tendon—a case series. Chin J Traumatol 2016; 19 (04) 235-238
• 3 Mair SD, Isbell WM, Gill TJ, Schlegel TF, Hawkins RJ. Triceps tendon ruptures in professional football players. Am J Sports Med 2004; 32 (02) 431-434
• 4 Sharma SC, Singh R, Goel T, Singh H. Missed diagnosis of triceps tendon rupture: a case report and review of literature. J Orthop Surg (Hong Kong) 2005; 13 (03) 307-309
• 5 Aso K, Torisu T. Muscle belly tear of the triceps. Am J Sports Med 1984; 12 (06) 485-487
• 6 Celli A. Triceps tendon rupture: the knowledge acquired from the anatomy to the surgical repair. Musculoskelet Surg 2015; 99 (Suppl. 01) S57-S66
• 7 van Riet RP, Morrey BF, Ho E, O’Driscoll SW. Surgical treatment of distal triceps ruptures. J Bone Joint Surg Am 2003; 85-A (10) 1961-1967
• 8 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
• 9 Kokkalis ZT, Mavrogenis AF, Spyridonos S, Papagelopoulos PJ, Weiser RW, Sotereanos DG. Triceps brachii distal tendon reattachment with a double-row technique. Orthopedics 2013; 36 (02) 110-116
• 10 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
• 11 Mancini F, Bernardi G, DE Luna V, Tudisco C. Surgical repair of isolated triceps tendon rupture using a suture anchor technique: a case report. Joints 2017; 4 (04) 250-252
• 12 Paci JM, Clark J, Rizzi A. Distal triceps knotless anatomic footprint repair: a new technique. Arthrosc Tech 2014; 3 (05) e621-e626
• 13 Yeh PC, Dodds SD, Smart LR, Mazzocca AD, Sethi PM. Distal triceps rupture. J Am Acad Orthop Surg 2010; 18 (01) 31-40
• 14 Yeh PC, Stephens KT, Solovyova O. et al. The distal triceps tendon footprint and a biomechanical analysis of 3 repair techniques. Am J Sports Med 2010; 38 (05) 1025-1033
• 15 Weistroffer JK, Mills WJ, Shin AY. Recurrent rupture of the triceps tendon repaired with hamstring tendon autograft augmentation: a case report and repair technique. J Shoulder Elbow Surg 2003; 12 (02) 193-196
• 16 Bennett JB, Mehlhoff TL. Triceps tendon repair. J Hand Surg Am 2015; 40 (08) 1677-1683
• 17 Madsen M, Marx RG, Millett PJ, Rodeo SA, Sperling JW, Warren RF. Surgical anatomy of the triceps brachii tendon: anatomical study and clinical correlation. Am J Sports Med 2006; 34 (11) 1839-1843
• 18 Keener JD, Chafik D, Kim HM, Galatz LM, Yamaguchi K. Insertional anatomy of the triceps brachii tendon. J Shoulder Elbow Surg 2010; 19 (03) 399-405
• 19 Tom JA, Kumar NS, Cerynik DL, Mashru R, Parrella MS. Diagnosis and treatment of triceps tendon injuries: a review of the literature. Clin J Sport Med 2014; 24 (03) 197-204
• 20 Balazs GC, Brelin AM, Dworak TC. et al. Outcomes and complications of triceps tendon repair following acute rupture in American military personnel. Injury 2016; 47 (10) 2247-2251
• 21 Kose O, Kilicaslan OF, Guler F, Acar B, Yuksel HY. Functional outcomes and complications after surgical repair of triceps tendon rupture. Eur J Orthop Surg Traumatol 2015; 25 (07) 1131-1139