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Triceps Tendon Injury, Elbow
Kirkland W. Davis, MD, FACRAndrew Sonin, MD, FACRDonna G. Blankenbaker, MD, FACR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          • Diagnostic Checklist

            TERMINOLOGY

            • Synonyms

              • Triceps tendinopathy, triceps tear, triceps rupture
            • Definitions

              • Tendinopathy, partial or complete tear, or avulsion of distal triceps brachii tendon

            IMAGING

            • General Features

              • Radiographic Findings

                • CT Findings

                  • MR Findings

                    • Ultrasonographic Findings

                      • Imaging Recommendations

                        DIFFERENTIAL DIAGNOSIS

                          CLINICAL ISSUES

                          • Presentation

                            • Natural History & Prognosis

                              • Treatment

                                DIAGNOSTIC CHECKLIST

                                • Consider

                                  • Image Interpretation Pearls

                                    • Reporting Tips

                                      Selected References

                                      1. Walker CM et al: Distal triceps tendon injuries. Clin Sports Med. 39(3):673-85, 2020
                                      2. Beazley JC et al: Distal biceps and triceps injuries. Open Orthop J. 11:1364-72, 2017
                                      3. Thomas JR et al: Biceps and triceps ruptures in athletes. Hand Clin. 33(1):35-46, 2017
                                      4. Binaghi D: MR Imaging of the elbow. Magn Reson Imaging Clin N Am. 23(3):427-40, 2015
                                      5. Karuppiah SV et al: Elbow dislocation with complete triceps avulsion. Case Rep Orthop. 2014:636504, 2014
                                      6. Łasecki M et al: The snapping elbow syndrome as a reason for chronic elbow neuralgia in a tennis player: MR, US and sonoelastography evaluation. Pol J Radiol. 79:467-71, 2014
                                      7. Tom JA et al: Diagnosis and treatment of triceps tendon injuries: a review of the literature. Clin J Sport Med. 24(3):197-204, 2014
                                      8. Canbora K et al: Triceps tendon avulsion and associated injuries of the elbow. BMJ Case Rep. 2013, 2013
                                      9. Kokkalis ZT et al: Distal biceps and triceps ruptures. Injury. 44(3):318-22, 2013
                                      10. Yesilaras M et al: Diagnosis of triceps tendon rupture with bedside ultrasonography. Emerg Med Australas. 25(5):475-6, 2013
                                      11. Bava ED et al: Clinical outcome after suture anchor repair for complete traumatic rupture of the distal triceps tendon. Arthroscopy. 28(8):1058-63, 2012
                                      12. Tagliafico A et al: Ultrasound demonstration of distal triceps tendon tears. Eur J Radiol. 81(6):1207-10, 2012
                                      13. Yazdi HR et al: Neglected triceps tendon avulsion: case report, literature review, and a new repair method. Am J Orthop (Belle Mead NJ). 41(7):E96-9, 2012
                                      14. Downey R et al: Sonography of partial-thickness tears of the distal triceps brachii tendon. J Ultrasound Med. 30(10):1351-6, 2011
                                      15. Koplas MC et al: Prevalence of triceps tendon tears on MRI of the elbow and clinical correlation. Skeletal Radiol. 40(5):587-94, 2011
                                      16. Lempainen L et al: Triceps tears in athletes: different injury patterns and surgical treatment. Arch Orthop Trauma Surg. 131(10):1413-7, 2011
                                      17. Bain GI et al: Sports-related injuries of the biceps and triceps. Clin Sports Med. 29(4):555-76, 2010
                                      18. Keener JD et al: Insertional anatomy of the triceps brachii tendon. J Shoulder Elbow Surg. 19(3):399-405, 2010
                                      19. Belentani C et al: Triceps brachii tendon: anatomic-MR imaging study in cadavers with histologic correlation. Skeletal Radiol. 38(2):171-5, 2009
                                      20. Moon YL et al: Bilateral and simultaneous triceps avulsions in a patient with chronic renal failure receiving long-term peritoneal dialysis. Orthopedics. 32(8), 2009
                                      21. Rineer CA et al: Elbow tendinopathy and tendon ruptures: epicondylitis, biceps and triceps ruptures. J Hand Surg Am. 34(3):566-76, 2009
                                      22. McCulloch PC et al: Familial triceps tendon ruptures. Orthopedics. 31(6):600-2, 2008
                                      23. Madsen M et al: Surgical anatomy of the triceps brachii tendon: anatomical study and clinical correlation. Am J Sports Med. 34(11):1839-43, 2006
                                      24. Sierra RJ et al: Acute triceps ruptures: case report and retrospective chart review. J Shoulder Elbow Surg. 15(1):130-4, 2006
                                      25. Mair SD et al: Triceps tendon ruptures in professional football players. Am J Sports Med. 32(2):431-4, 2004
                                      26. Vidal AF et al: Biceps tendon and triceps tendon injuries. Clin Sports Med. 23(4):707-22, xi, 2004
                                      27. van Riet RP et al: Surgical treatment of distal triceps ruptures. J Bone Joint Surg Am. 85-A(10):1961-7, 2003
                                      28. Pina A et al: Traumatic avulsion of the triceps brachii. J Orthop Trauma. 16(4):273-6, 2002
                                      29. Rajasekhar C et al: Avulsion of the triceps tendon. Emerg Med J. 19(3):271-2, 2002
                                      30. Strauch RJ: Biceps and triceps injuries of the elbow. Orthop Clin North Am. 30(1):95-107, 1999
                                      Related Anatomy
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                                      Related Differential Diagnoses
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                                      References
                                      Tables

                                      Tables

                                      KEY FACTS

                                      • Terminology

                                        • Imaging

                                          • Top Differential Diagnoses

                                            • Clinical Issues

                                              • Diagnostic Checklist

                                                TERMINOLOGY

                                                • Synonyms

                                                  • Triceps tendinopathy, triceps tear, triceps rupture
                                                • Definitions

                                                  • Tendinopathy, partial or complete tear, or avulsion of distal triceps brachii tendon

                                                IMAGING

                                                • General Features

                                                  • Radiographic Findings

                                                    • CT Findings

                                                      • MR Findings

                                                        • Ultrasonographic Findings

                                                          • Imaging Recommendations

                                                            DIFFERENTIAL DIAGNOSIS

                                                              CLINICAL ISSUES

                                                              • Presentation

                                                                • Natural History & Prognosis

                                                                  • Treatment

                                                                    DIAGNOSTIC CHECKLIST

                                                                    • Consider

                                                                      • Image Interpretation Pearls

                                                                        • Reporting Tips

                                                                          Selected References

                                                                          1. Walker CM et al: Distal triceps tendon injuries. Clin Sports Med. 39(3):673-85, 2020
                                                                          2. Beazley JC et al: Distal biceps and triceps injuries. Open Orthop J. 11:1364-72, 2017
                                                                          3. Thomas JR et al: Biceps and triceps ruptures in athletes. Hand Clin. 33(1):35-46, 2017
                                                                          4. Binaghi D: MR Imaging of the elbow. Magn Reson Imaging Clin N Am. 23(3):427-40, 2015
                                                                          5. Karuppiah SV et al: Elbow dislocation with complete triceps avulsion. Case Rep Orthop. 2014:636504, 2014
                                                                          6. Łasecki M et al: The snapping elbow syndrome as a reason for chronic elbow neuralgia in a tennis player: MR, US and sonoelastography evaluation. Pol J Radiol. 79:467-71, 2014
                                                                          7. Tom JA et al: Diagnosis and treatment of triceps tendon injuries: a review of the literature. Clin J Sport Med. 24(3):197-204, 2014
                                                                          8. Canbora K et al: Triceps tendon avulsion and associated injuries of the elbow. BMJ Case Rep. 2013, 2013
                                                                          9. Kokkalis ZT et al: Distal biceps and triceps ruptures. Injury. 44(3):318-22, 2013
                                                                          10. Yesilaras M et al: Diagnosis of triceps tendon rupture with bedside ultrasonography. Emerg Med Australas. 25(5):475-6, 2013
                                                                          11. Bava ED et al: Clinical outcome after suture anchor repair for complete traumatic rupture of the distal triceps tendon. Arthroscopy. 28(8):1058-63, 2012
                                                                          12. Tagliafico A et al: Ultrasound demonstration of distal triceps tendon tears. Eur J Radiol. 81(6):1207-10, 2012
                                                                          13. Yazdi HR et al: Neglected triceps tendon avulsion: case report, literature review, and a new repair method. Am J Orthop (Belle Mead NJ). 41(7):E96-9, 2012
                                                                          14. Downey R et al: Sonography of partial-thickness tears of the distal triceps brachii tendon. J Ultrasound Med. 30(10):1351-6, 2011
                                                                          15. Koplas MC et al: Prevalence of triceps tendon tears on MRI of the elbow and clinical correlation. Skeletal Radiol. 40(5):587-94, 2011
                                                                          16. Lempainen L et al: Triceps tears in athletes: different injury patterns and surgical treatment. Arch Orthop Trauma Surg. 131(10):1413-7, 2011
                                                                          17. Bain GI et al: Sports-related injuries of the biceps and triceps. Clin Sports Med. 29(4):555-76, 2010
                                                                          18. Keener JD et al: Insertional anatomy of the triceps brachii tendon. J Shoulder Elbow Surg. 19(3):399-405, 2010
                                                                          19. Belentani C et al: Triceps brachii tendon: anatomic-MR imaging study in cadavers with histologic correlation. Skeletal Radiol. 38(2):171-5, 2009
                                                                          20. Moon YL et al: Bilateral and simultaneous triceps avulsions in a patient with chronic renal failure receiving long-term peritoneal dialysis. Orthopedics. 32(8), 2009
                                                                          21. Rineer CA et al: Elbow tendinopathy and tendon ruptures: epicondylitis, biceps and triceps ruptures. J Hand Surg Am. 34(3):566-76, 2009
                                                                          22. McCulloch PC et al: Familial triceps tendon ruptures. Orthopedics. 31(6):600-2, 2008
                                                                          23. Madsen M et al: Surgical anatomy of the triceps brachii tendon: anatomical study and clinical correlation. Am J Sports Med. 34(11):1839-43, 2006
                                                                          24. Sierra RJ et al: Acute triceps ruptures: case report and retrospective chart review. J Shoulder Elbow Surg. 15(1):130-4, 2006
                                                                          25. Mair SD et al: Triceps tendon ruptures in professional football players. Am J Sports Med. 32(2):431-4, 2004
                                                                          26. Vidal AF et al: Biceps tendon and triceps tendon injuries. Clin Sports Med. 23(4):707-22, xi, 2004
                                                                          27. van Riet RP et al: Surgical treatment of distal triceps ruptures. J Bone Joint Surg Am. 85-A(10):1961-7, 2003
                                                                          28. Pina A et al: Traumatic avulsion of the triceps brachii. J Orthop Trauma. 16(4):273-6, 2002
                                                                          29. Rajasekhar C et al: Avulsion of the triceps tendon. Emerg Med J. 19(3):271-2, 2002
                                                                          30. Strauch RJ: Biceps and triceps injuries of the elbow. Orthop Clin North Am. 30(1):95-107, 1999