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ISSN 1029-3035 (Electronic)

2016, Number S1

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Mediciego 2016; 22 (S1)

Rupture of the right brachial triceps in a baseball athlete. A case report

Martín LR, Sánchez OJA, Candelario ÁJL, Fernández LLA, Hernández GA, Tejera VAJ

Language: Spanish
References: 12
Page: 60-65
PDF size: 179.55 Kb.


ABSTRACT

Introduction: rupture of the distal triceps tendon is a very uncommon injury; it represents only 0,8 % of all tendon injuries. It is frequent in athletic men, probably due to their training regimen. The cause of the injury is usually a fall with the hand in extension; when the triceps is contracted, the deceleration force on the arm causes the rupture.
Objective: to present a case of right brachial triceps rupture in a baseball athlete.
Case presentation: 34-year-old male patient, baseball athlete; when capturing a pitch supported his left hand and felt an intense pain in the back side of the left elbow, which prevented him to continue the game. On physical examination, hatchet strike defect in the distal tendon of the triceps was found, with an increase in volume and impossibility to extend the elbow; ultrasound of soft tissues showed signs of total rupture of the tendon and surgical treatment was oriented. In the operation the deinsertion in the olecranon was confirmed; transosseous suture was performed, the elbow was immobilized at approximately 60 degrees of flexion for six weeks, and then the patient began rehabilitation.
Discussion: the patient did not present personal pathological antecedents or infiltrations with steroids around the elbow; the mechanism of production of the injury was indirect, and a consequence of the sport practice.
Conclusions: early primary repair of the lesion is important because, regardless of the surgical technique used, it avoids recurring reconstruction techniques.


REFERENCES

  1. Mair SD, Isbell WM, Gill TJ, Schlegel TF, Hawkins RJ. Triceps tendon ruptures in professional football players. Am J Sports Med [Internet]. Mar 2004 [citado 23 May 2016];32(2):431-4. Disponible en: http://journals.sagepub.com/doi/pdf/10.1177/0095399703258707

  2. Gómez Canedo JM, Costas Pajariño JM, Pita Echegaray MA, Rivera Gabela A, Pérez Muñoz M, Corral García I. Rotura del tendón distal del bíceps braquial. Revista Española de Cirugía Osteoarticular [Internet]. Jun 2009 [citado 4 Feb 2016];238(45):54-7. Disponible en: http://www.cirugiaosteoarticular. org/adaptingsystem/intercambio/revistas/articulos/2229_238_54a57.pdf

  3. Van Riet RP, Morrey BF, Ho E, O’Driscoll SW. Surgical treatment of distal triceps ruptures. J Bone Joint Surg Am [Internet]. Oct 2003 [citado 12 May 2016];85-A(10):1961-7. Disponible en: http://jbjs.org/content/jbjsam/85/10/1961.full.pdf

  4. Tom JA, Kumar NS, Cerynik DL, Mashru R, Parrella MS. Diagnosis and treatment of triceps tendon injuries: a review of the literature. Clin J Sport Med [Internet]. May 2014 [citado 12 May 2016];24(3):197-204. Disponible en: http://pdfs.journals.lww.com/cjsportsmed/2014/05000/Diagnosis_and_Treatment_of_Triceps _Tendon.1.pdf?token=method|ExpireAbsolute;source|Journals;ttl|1484924143394;payload|m Y8D3u1TCCsNvP5E421JYK6N6XICDamxByyYpaNzk7FKjTaa1Yz22MivkHZqjGP4kdS2v0J76WGA nHACH69s21Csk0OpQi3YbjEMdSoz2UhVybFqQxA7lKwSUlA502zQZr96TQRwhVlocEp/sJ586aVb cBFlltKNKo+tbuMfL73hiPqJliudqs17cHeLcLbV/CqjlP3IO0jGHlHQtJWcICDdAyGJMnpi6RlbEJaRhe Geh5z5uvqz3FLHgPKVXJzd2n6+4HUwI3CfBuGkKQhjKJDQjf0JfbuD5sIlA9HRycB+G4zknoi1QSp 1Gy0PH7ec;hash|zB8huaWgoqemYyW/DNlKHg==

  5. Delgado Serrano PJ. Roturas del tendón distal del biceps braquial. Trauma Fund MAPFRE [Internet]. Dic 2008 [citado 12 May 2016];19(4):242-50. Disponible en: http://www.mapfre.com/fundacion/html/revistas/trauma/v19n4/pdf/02_07.pdf

  6. Mejía Casado A, Carpintero Lluch R, Fernández Izquierdo A. Rotura del tendón distal del tríceps braquial: diagnóstico y tratamiento. Rev S And Traum y Ort [Internet]. Jun 2015 [citado 4 Jun 2016];32(1/2):25-36. Disponible en: http://www.portalsato.es/documentos/revista/Revista15- 1/ROTURA%20DEL%20TENDON%20DISTAL%20DEL%20TRICEPS%20BRAQUIAL.pdf

  7. Martínez Vásquez C, Castro Artavia C. Ruptura distal tendón del tríceps: reporte de caso. Revista Médica de Costa Rica Y Centroamérica [Internet]. 2013 [citado 4 Feb 2016];LXX(608):717-9. Disponible en: http://www.binasss.sa.cr/revistas/rmcc/608/art27.pdf

  8. López Zabala I, Muñoz Mahamud E, Ballesteros Betancourt JR, Fernández Valencia JA. Rotura de la unión musculotendinosa distal del bíceps. A propósito de dos casos. Trauma Fund MAPFRE [Internet]. Sep 2011 [citado 12 May 2016];22(3):164-7. Disponible en: http://www.mapfre.com/fundacion/html/revistas/trauma/v22n3/pdf/02_04.pdf

  9. Sharma P, Vijayargiya M, Tandon S, Gaur S. Triceps tendon avulsion: a rare injury. Ethiop J Health Sci [Internet]. Ene 2014 [citado 1 May 2016];24(1):97-9. Disponible en: http://www.ajol.info/index.php/ejhs/article/viewFile/102639/92907

  10. Bennett JB, Mehlhoff TL. Triceps tendon repair. J Hand Surg Am [Internet]. Ago 2015 [citado 12 Abr 2016];40(8):1677-83. Disponible en: https://www.clinicalkey.es/service/content/pdf/watermarked/1-s2.0- S0363502315006061.pdf?locale=es_ES

  11. Tarallo L, Zambianchi F, Mugnai R, Costanzini CA, Catani F. Distal triceps tendon repair using Krakow whipstitches, K wires, tension band and double drilling technique: a case report. J Med Case Rep [Internet]. 2015 [citado 4 May 2016];9:[aprox. 9 p.]. Disponible en: http://download.springer.com/static/pdf/456/art%253A10.1186%252Fs13256-014-0504-5.pdf?originUrl=http%3A%2F%2Fjmedicalcasereports.biomedcentral.com%2Farticle%2F10.1 186%2Fs13256-014-0504- 5&token2=exp=1484931675~acl=%2Fstatic%2Fpdf%2F456%2Fart%25253A10.1186%2525 2Fs13256-014-0504- 5.pdf*~hmac=f2d374d963765afe6281087e1d28de2c24300fe897176a080b8cc075ba0dc391

  12. Keener JD, Sethi PM. Distal triceps tendon injuries. Hand Clin [Internet]. Nov 2015 [citado 12 May 2016];31(4):641-50. Disponible en: https://www.clinicalkey.es/service/content/pdf/watermarked/1-s2.0- S0749071215000761.pdf?locale=es_ES




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