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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5987265PMC
http://dx.doi.org/10.1016/j.tcr.2018.04.006DOI Listing

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Avulsion of the triceps tendon is a rare injury accounting for less than 1% of all tendon injuries. The triceps is an extensor of the elbow and causes compromised function if left untreated. Complete ruptures should be treated with early repairs for satisfactory outcomes.

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  • * The review analyzed 45 studies and data from 535 patients, focusing on upper body nerve repairs where VNGs were used, especially on the ulnar nerve.
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Osseous Triceps Avulsion in a 12-Year-Old Girl: A Case Report.

JBJS Case Connect

July 2024

Department of Orthopaedic Surgery, Pediatric Orthopaedic Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin.

Case: A 12-year-old girl presented with significant right elbow pain following a fall during soccer which caused an osseous triceps avulsion injury and nondisplaced type II Salter-Harris radial neck fracture. The patient was treated with successful open repair utilizing suture anchor fixation, resulting in full return of function and return to previous activities.

Conclusion: Timely and accurate diagnosis and treatment of displaced triceps sleeve avulsion injuries is critical and can result in excellent patient outcomes and return to previous functional level.

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  • Triceps tendon ruptures are rare, making up less than 1% of upper extremity tendon injuries, but can occur with traumatic injuries, particularly in specific athlete demographics.
  • A unique case involved an adolescent skier who sustained a distal triceps rupture and medial ulnar collateral ligament injury from a non-contact fall, highlighting a rare combination of injuries typically seen in older athletes.
  • This incident emphasizes the need for more research on adolescent injuries related to trampoline training and calls for better safety protocols in sports involving such equipment.
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Background: Clinical assessment of triceps brachii tendon tears is challenging, and conventional imaging methods have limitations. Timely surgical referral is important in high-grade tears to maximize patient outcomes, and musculoskeletal ultrasound (MSK US) can be used at the time of clinical examination to identify such injuries requiring advanced imaging and orthopedic referral.

Hypothesis/purpose: The purpose of this case report is to describe how MSK US was used to facilitate advanced imaging and timely orthopedic referral for a patient presenting to a physical therapist with a high-grade triceps tendon avulsion.

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