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Results of primary repair of distal triceps tendon ruptures in a general population.

Abstract Aims The aim of the study was to analyze the results of primary tendon reinsertion in acute and chronic distal triceps tendon ruptures (DTTRs) in the general population. Patients and Methods A total of 28 patients were operated on for primary DTTR reinsertions, including 21 male patients and seven female patients with a mean age of 45 years (14 to 76). Of these patients, 23 sustained an acute DTTR and five had a chronic injury. One patient had a non-simultaneous bilateral DTTR. Seven patients had DTTR-associated ipsilateral fracture or dislocation. Comorbidities were present in four patients. Surgical treatment included transosseous and suture-anchors reinsertion in 22 and seven DTTRs, respectively. The clinical evaluation was performed using Mayo Elbow Performance Score (MEPS), the modified American Shoulder and Elbow Surgeons Score (m-ASES), the Quick Disabilities of the Arm, Shoulder and Hand score (QuickDASH), and the Medical Research Council (MRC) Scale. Results A total of 27 patients (28 DTTRs) were available for review at a mean of 47.5 months (12 to 204). The mean MEPS, QuickDASH, and m-ASES scores were 94 (60 to 100), 10 (0 to 52), and 94 (58 to 100), respectively. Satisfactory results were observed in 26 cases (93%). Muscle strength was 5/5 and 4/5 in 18 and ten DTTRs, respectively. One patient with chronic renal failure experienced a traumatic rerupture of distal triceps. One patient (1 DTTR) experienced mild elbow stiffness. Conclusion Primary repair of acute and chronic DTTRs in a general population yields satisfactory results in the majority of patients with a low rerupture rate. Cite this article: Bone Joint J 2018;100-B:610-16.
PMID
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Authors

Mayor MeshTerms
Keywords

Elbow

Tendon injury

Tendon reconstruction

Tendon reinsertion

Trauma

Triceps tendon

Journal Title the bone & joint journal
Publication Year Start




PMID- 29701103
OWN - NLM
STAT- MEDLINE
DCOM- 20180516
LR  - 20180516
IS  - 2049-4408 (Electronic)
IS  - 2049-4394 (Linking)
VI  - 100-B
IP  - 5
DP  - 2018 May 1
TI  - Results of primary repair of distal triceps tendon ruptures in a general
      population.
PG  - 610-616
LID - 10.1302/0301-620X.100B5.BJJ-2017-1057.R2 [doi]
AB  - Aims The aim of the study was to analyze the results of primary tendon
      reinsertion in acute and chronic distal triceps tendon ruptures (DTTRs) in the
      general population. Patients and Methods A total of 28 patients were operated on 
      for primary DTTR reinsertions, including 21 male patients and seven female
      patients with a mean age of 45 years (14 to 76). Of these patients, 23 sustained 
      an acute DTTR and five had a chronic injury. One patient had a non-simultaneous
      bilateral DTTR. Seven patients had DTTR-associated ipsilateral fracture or
      dislocation. Comorbidities were present in four patients. Surgical treatment
      included transosseous and suture-anchors reinsertion in 22 and seven DTTRs,
      respectively. The clinical evaluation was performed using Mayo Elbow Performance 
      Score (MEPS), the modified American Shoulder and Elbow Surgeons Score (m-ASES),
      the Quick Disabilities of the Arm, Shoulder and Hand score (QuickDASH), and the
      Medical Research Council (MRC) Scale. Results A total of 27 patients (28 DTTRs)
      were available for review at a mean of 47.5 months (12 to 204). The mean MEPS,
      QuickDASH, and m-ASES scores were 94 (60 to 100), 10 (0 to 52), and 94 (58 to
      100), respectively. Satisfactory results were observed in 26 cases (93%). Muscle 
      strength was 5/5 and 4/5 in 18 and ten DTTRs, respectively. One patient with
      chronic renal failure experienced a traumatic rerupture of distal triceps. One
      patient (1 DTTR) experienced mild elbow stiffness. Conclusion Primary repair of
      acute and chronic DTTRs in a general population yields satisfactory results in
      the majority of patients with a low rerupture rate. Cite this article: Bone Joint
      J 2018;100-B:610-16.
FAU - Giannicola, G
AU  - Giannicola G
AD  - Department of Anatomical, Histological,Forensic Medicine and Orthopedics
      Sciences,Sapienza University of Rome -PoliclinicoUmberto I, Rome, Italy.
FAU - Bullitta, G
AU  - Bullitta G
AD  - Department of Anatomical, Histological,Forensic Medicine and Orthopedics
      Sciences,Sapienza University of Rome - PoliclinicoUmberto I.
FAU - Rotini, R
AU  - Rotini R
AD  - Shoulder and Elbow Surgery Unit, RizzoliOrthopedic Institute, Bologna, Bologna,
      Italy.
FAU - Murena, L
AU  - Murena L
AD  - Clinical University Department of Medical,Surgical and Health Sciences,
      Orthopaedicsand Traumatology Clinic, Azienda Ospedaliero-Universitaria Ospedali
      Riuniti di Trieste,Universita degli Studi di Trieste, Trieste, Italy.
FAU - Blonna, D
AU  - Blonna D
AD  - Orthopedics and Traumatology Department,Mauriziano-Umberto I Hospital, University
      ofTurin Medical School, Turin, Italy.
FAU - Iapicca, M
AU  - Iapicca M
AD  - Department of Orthopaedic Surgery, AziendaOspedaliera Papa Giovanni XXIII,
      Bergamo, Bergamo, Italy.
FAU - Restuccia, G
AU  - Restuccia G
AD  - S.O.D. Orthopaedics and Traumatology, AOUPAzienda Ospedaliero-Universitaria
      Pisana, Pisa, Italy.
FAU - Merolla, G
AU  - Merolla G
AD  - Unit of Shoulder and Elbow Surgery, D. CervesiHospital, Cattolica-AUSL della
      RomagnaAmbito Territoriale di Rimini, Cattolica, Italy.
FAU - Fontana, M
AU  - Fontana M
AD  - Department of Orthopaedics andTraumatology, Ospedale degli Infermi, Faenza,
      Italy.
FAU - Greco, A
AU  - Greco A
AD  - Department of Orthopaedics andTraumatology, Ospedale San Salvatore, L' Aquila,
      Italy.
FAU - Scacchi, M
AU  - Scacchi M
AD  - Department of Anatomical, Histological andForensic Medicine, and Orthopaedic
      Sciences,Sapienza University of Rome - PoliclinicoUmberto I, Rome, Italy.
FAU - Cinotti, G
AU  - Cinotti G
AD  - Department of Anatomical, Histological andForensic Medicine, and Orthopaedic
      Sciences,Sapienza University of Rome - PoliclinicoUmberto I, Rome, Italy.
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
PL  - England
TA  - Bone Joint J
JT  - The bone & joint journal
JID - 101599229
SB  - AIM
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Arm Injuries/surgery
MH  - Elbow Joint/injuries/physiopathology
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Muscle Strength
MH  - Muscle, Skeletal/physiopathology
MH  - Range of Motion, Articular
MH  - Retrospective Studies
MH  - Rupture
MH  - Suture Anchors
MH  - Suture Techniques
MH  - Tendon Injuries/classification/*surgery
MH  - Treatment Outcome
MH  - Young Adult
OTO - NOTNLM
OT  - Elbow
OT  - Tendon injury
OT  - Tendon reconstruction
OT  - Tendon reinsertion
OT  - Trauma
OT  - Triceps tendon
EDAT- 2018/04/28 06:00
MHDA- 2018/05/17 06:00
CRDT- 2018/04/28 06:00
PHST- 2018/04/28 06:00 [entrez]
PHST- 2018/04/28 06:00 [pubmed]
PHST- 2018/05/17 06:00 [medline]
AID - 10.1302/0301-620X.100B5.BJJ-2017-1057.R2 [doi]
PST - ppublish
SO  - Bone Joint J. 2018 May 1;100-B(5):610-616. doi:
      10.1302/0301-620X.100B5.BJJ-2017-1057.R2.