Surgical Repair Using Suture Bridge Technique for Triceps Tendon Avulsion

Triceps tendon avulsion is a rarely occurring tendinous injury. Various surgical procedures, such as repair using sutures through the transosseous tunnel or suture anchors, have been reported for treating triceps tendon avulsion. However, standard surgical treatment has not yet been established. Her...

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Main Authors: Ryogo Furuhata, Yusaku Kamata, Aki Kono, Taichi Nishimura, Shinya Otani, Hideo Morioka
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2021/5572126
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author Ryogo Furuhata
Yusaku Kamata
Aki Kono
Taichi Nishimura
Shinya Otani
Hideo Morioka
author_facet Ryogo Furuhata
Yusaku Kamata
Aki Kono
Taichi Nishimura
Shinya Otani
Hideo Morioka
author_sort Ryogo Furuhata
collection DOAJ
description Triceps tendon avulsion is a rarely occurring tendinous injury. Various surgical procedures, such as repair using sutures through the transosseous tunnel or suture anchors, have been reported for treating triceps tendon avulsion. However, standard surgical treatment has not yet been established. Here, we present a case of triceps tendon avulsion treated using the suture bridge technique. A 58-year-old man who fell on his left elbow from standing height presented to our hospital. Plain radiography revealed an avulsion fracture of the left olecranon process, suggesting triceps tendon avulsion. We performed surgical repair of the avulsed bone fragments and ruptured triceps tendon. We inserted suture anchors into the ulna, proximal to the fracture site, and passed the sutures through the full thickness of the triceps. Subsequently, fracture fragments were reduced and fixed by pulling them together with the triceps. We inserted knotless anchors into the ulna distal to the fracture site and fixed the avulsed bone fragments and triceps tendon using the suture bridge technique. The patient recovered well in five months and reported no elbow pain or limited range of motion. This suture bridge technique is advantageous as it prevents iatrogenic fracture and knot irritation, and it would be indicated in cases with poor bone quality or thin skin soft tissue of the olecranon.
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institution Kabale University
issn 2090-6749
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publishDate 2021-01-01
publisher Wiley
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series Case Reports in Orthopedics
spelling doaj-art-6bc56434f67442c19ad1fade503921362025-02-03T00:58:49ZengWileyCase Reports in Orthopedics2090-67492090-67572021-01-01202110.1155/2021/55721265572126Surgical Repair Using Suture Bridge Technique for Triceps Tendon AvulsionRyogo Furuhata0Yusaku Kamata1Aki Kono2Taichi Nishimura3Shinya Otani4Hideo Morioka5Department of Orthopaedic Surgery, National Hospital Organization Tokyo Medical Center, 2-5-1, Higashigaoka, Meguro-ku, Tokyo, JapanDepartment of Orthopaedic Surgery, National Hospital Organization Tokyo Medical Center, 2-5-1, Higashigaoka, Meguro-ku, Tokyo, JapanDepartment of Orthopaedic Surgery, National Hospital Organization Tokyo Medical Center, 2-5-1, Higashigaoka, Meguro-ku, Tokyo, JapanDepartment of Orthopaedic Surgery, National Hospital Organization Tokyo Medical Center, 2-5-1, Higashigaoka, Meguro-ku, Tokyo, JapanDepartment of Orthopaedic Surgery, National Hospital Organization Tokyo Medical Center, 2-5-1, Higashigaoka, Meguro-ku, Tokyo, JapanDepartment of Orthopaedic Surgery, National Hospital Organization Tokyo Medical Center, 2-5-1, Higashigaoka, Meguro-ku, Tokyo, JapanTriceps tendon avulsion is a rarely occurring tendinous injury. Various surgical procedures, such as repair using sutures through the transosseous tunnel or suture anchors, have been reported for treating triceps tendon avulsion. However, standard surgical treatment has not yet been established. Here, we present a case of triceps tendon avulsion treated using the suture bridge technique. A 58-year-old man who fell on his left elbow from standing height presented to our hospital. Plain radiography revealed an avulsion fracture of the left olecranon process, suggesting triceps tendon avulsion. We performed surgical repair of the avulsed bone fragments and ruptured triceps tendon. We inserted suture anchors into the ulna, proximal to the fracture site, and passed the sutures through the full thickness of the triceps. Subsequently, fracture fragments were reduced and fixed by pulling them together with the triceps. We inserted knotless anchors into the ulna distal to the fracture site and fixed the avulsed bone fragments and triceps tendon using the suture bridge technique. The patient recovered well in five months and reported no elbow pain or limited range of motion. This suture bridge technique is advantageous as it prevents iatrogenic fracture and knot irritation, and it would be indicated in cases with poor bone quality or thin skin soft tissue of the olecranon.http://dx.doi.org/10.1155/2021/5572126
spellingShingle Ryogo Furuhata
Yusaku Kamata
Aki Kono
Taichi Nishimura
Shinya Otani
Hideo Morioka
Surgical Repair Using Suture Bridge Technique for Triceps Tendon Avulsion
Case Reports in Orthopedics
title Surgical Repair Using Suture Bridge Technique for Triceps Tendon Avulsion
title_full Surgical Repair Using Suture Bridge Technique for Triceps Tendon Avulsion
title_fullStr Surgical Repair Using Suture Bridge Technique for Triceps Tendon Avulsion
title_full_unstemmed Surgical Repair Using Suture Bridge Technique for Triceps Tendon Avulsion
title_short Surgical Repair Using Suture Bridge Technique for Triceps Tendon Avulsion
title_sort surgical repair using suture bridge technique for triceps tendon avulsion
url http://dx.doi.org/10.1155/2021/5572126
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