Triceps Ruptures

The most common cause is resisted extension, which is typically seen in a fall on an extended hand. Other common causes:

• Repetitive strain from activities that require forceful elbow extension, such as weightlifting, can lead to degeneration and eventual rupture.
• Steroid injections or anabolic steroid use can weaken tendons, making them more susceptible to tears.
• Some chronic conditions like rheumatoid arthritis or chronic renal failure can increase the risk of tendon injuries.
• Previous elbow surgery can increase the risk of tendon ruptures due to scar tissue or weakened tendon integrity.

Symptoms include:

• Acute, severe pain at the back of the upper arm or elbow at the time of injury.
• Immediate swelling and bruising at the site of the tear.
• Significant weakness in the affected arm, particularly when extending the elbow.
• Visible bulging or change in the contour of the muscle, especially in complete ruptures.
• Difficulty or inability to extend the elbow against resistance.

Dr. Waterman will review your medical history to evaluate risk factors and inquire about the cause of the injury and your symptoms. He will perform an orthopedic examination and order X-rays to rule out elbow fractures. He may order an ultrasound or MRI to detect tendon tears and assess the severity of the injury.

The treatment for a triceps tendon rupture depends on the severity of the injury and the patient’s overall health and activity level. Surgical intervention is recommended for acute complete tears, high-grade partial tears, or injuries with bony avulsions. Nonoperative treatment is reserved for patients with significant medical conditions, patients with low-grade partial tears with minimal functional disability, and low-demand patients. The goal of surgery is to perform anatomical repair to restore function.

Nonsurgical treatment includes:

• Rest and immobilize with a sling or brace.
• Physical Therapy to restore strength and range of motion.
• Pain management with NSAIDs.

Surgical repair for acute complete tears and tears in active individuals needing full functional recovery involves reattaching the tendon back to the bone using sutures or bone anchors. Postoperative rehabilitation comprises a structured physical therapy program to restore strength and flexibility.

With appropriate treatment, most patients recover well from a triceps rupture. Nonsurgical management may suffice for partial tears, while surgical intervention provides good outcomes for complete ruptures. Rehabilitation is vital in full functional recovery, allowing patients to return to their pre-injury activity levels.