Limits...
Combined surgical treatment for missed rupture of triceps tendon associated with avulsion of the ulnar collateral ligament and flexor-pronator muscle mass.

Daglar B, Delialioglu OM, Ceyhan E, Altas O, Bayrakci K, Gunel U - Strategies Trauma Limb Reconstr (2009)

Bottom Line: Triceps tendon ruptures are rare injuries.Here, we describe an unusual combination injury to elbow of a 39-year-old male construction worker consisting of triceps tendon rupture, avulsion of elbow ulnar collateral ligament and flexor pronator muscle origin ipsilaterally.Return to pre-injury level of activities obtained with this treatment protocol.

View Article: PubMed Central - PubMed

Affiliation: 4th Clinic of Department of Orthopaedics and Traumatology, Ankara Numune Training and Research Hospital, Ankara, Turkey, budugul@yahoo.com.

ABSTRACT
Triceps tendon ruptures are rare injuries. Coexistence of ipsilateral ulnar collateral ligament injury is even rarer. Here, we describe an unusual combination injury to elbow of a 39-year-old male construction worker consisting of triceps tendon rupture, avulsion of elbow ulnar collateral ligament and flexor pronator muscle origin ipsilaterally. A simultaneous repair and reconstruction of all damaged structures was proposed with individualized postoperative rehabilitation. Return to pre-injury level of activities obtained with this treatment protocol. High degree of suspicion and careful examination were needed to prevent missed diagnosis and prolonged instability which may be inevitable after inappropriate treatment of such injury.

No MeSH data available.


Related in: MedlinePlus

Clinical photographs of the patient show range of motions of the involved elbow 2 years after surgery (a–d). Direct radiographs show bony tunnels for the UCL reconstruction, small calcifications at the medial side of the joint (e), and holes and metallic anchors used for the TT repair (f). Oblique sagital MRI section shows intact TT (small white arrows on g). Coronal MRI section identifies intact structures at the medial side of the joint (h)
© Copyright Policy
Related In: Results  -  Collection


getmorefigures.php?uid=PMC2666829&req=5

Fig3: Clinical photographs of the patient show range of motions of the involved elbow 2 years after surgery (a–d). Direct radiographs show bony tunnels for the UCL reconstruction, small calcifications at the medial side of the joint (e), and holes and metallic anchors used for the TT repair (f). Oblique sagital MRI section shows intact TT (small white arrows on g). Coronal MRI section identifies intact structures at the medial side of the joint (h)

Mentions: He was symptom free with stable elbow at the latest follow up. The only limitation was 10° of extension loss. Otherwise, he regained the full range of elbow motions. Figure 3 shows the clinical photographs of the motions, direct radiographs, and control MRI of the patient.Fig. 3


Combined surgical treatment for missed rupture of triceps tendon associated with avulsion of the ulnar collateral ligament and flexor-pronator muscle mass.

Daglar B, Delialioglu OM, Ceyhan E, Altas O, Bayrakci K, Gunel U - Strategies Trauma Limb Reconstr (2009)

Clinical photographs of the patient show range of motions of the involved elbow 2 years after surgery (a–d). Direct radiographs show bony tunnels for the UCL reconstruction, small calcifications at the medial side of the joint (e), and holes and metallic anchors used for the TT repair (f). Oblique sagital MRI section shows intact TT (small white arrows on g). Coronal MRI section identifies intact structures at the medial side of the joint (h)
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2666829&req=5

Fig3: Clinical photographs of the patient show range of motions of the involved elbow 2 years after surgery (a–d). Direct radiographs show bony tunnels for the UCL reconstruction, small calcifications at the medial side of the joint (e), and holes and metallic anchors used for the TT repair (f). Oblique sagital MRI section shows intact TT (small white arrows on g). Coronal MRI section identifies intact structures at the medial side of the joint (h)
Mentions: He was symptom free with stable elbow at the latest follow up. The only limitation was 10° of extension loss. Otherwise, he regained the full range of elbow motions. Figure 3 shows the clinical photographs of the motions, direct radiographs, and control MRI of the patient.Fig. 3

Bottom Line: Triceps tendon ruptures are rare injuries.Here, we describe an unusual combination injury to elbow of a 39-year-old male construction worker consisting of triceps tendon rupture, avulsion of elbow ulnar collateral ligament and flexor pronator muscle origin ipsilaterally.Return to pre-injury level of activities obtained with this treatment protocol.

View Article: PubMed Central - PubMed

Affiliation: 4th Clinic of Department of Orthopaedics and Traumatology, Ankara Numune Training and Research Hospital, Ankara, Turkey, budugul@yahoo.com.

ABSTRACT
Triceps tendon ruptures are rare injuries. Coexistence of ipsilateral ulnar collateral ligament injury is even rarer. Here, we describe an unusual combination injury to elbow of a 39-year-old male construction worker consisting of triceps tendon rupture, avulsion of elbow ulnar collateral ligament and flexor pronator muscle origin ipsilaterally. A simultaneous repair and reconstruction of all damaged structures was proposed with individualized postoperative rehabilitation. Return to pre-injury level of activities obtained with this treatment protocol. High degree of suspicion and careful examination were needed to prevent missed diagnosis and prolonged instability which may be inevitable after inappropriate treatment of such injury.

No MeSH data available.


Related in: MedlinePlus