Chronic triceps insufficiency managed with extensor carpi radialis longus and palmaris longus tendon grafts.

Indian J Orthop

Division of Orthopaedics, Rajah Muthiah Medical College and Hospital, Annamalai University, Chidambaram, Tamil Nadu, India.

Published: March 2012

Chronic triceps insufficiency, causing prolonged disability, occurs due to a missed diagnosis of an acute rupture. We report a 25 year old male with history of a significant fall sustaining multiple injuries. Since then, he had inability in extending his right elbow for which he sought intervention after a year. Diagnosis of triceps rupture was made clinicoradiologically and surgery was planned. Intraoperative findings revealed a deficient triceps with a fleck of avulsed bone from olecranon. Ipsilateral double tendon graft including extensor carpi radialis longus and palmaris longus were anchored to triceps and secured with the olecranon. Six-months follow revealed a complete active extension of elbow and a full function at the donor site.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3308668PMC
http://dx.doi.org/10.4103/0019-5413.93689DOI Listing

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