Triceps tendon rupture: Difference between revisions
Neil.m.young (talk | contribs) (Text replacement - " w/ " to " with ") |
Neil.m.young (talk | contribs) (Text replacement - "==Diagnosis==" to "==Evaluation==") |
||
| Line 8: | Line 8: | ||
*With complete rupture ability to extend the elbow is lost | *With complete rupture ability to extend the elbow is lost | ||
== | ==Evaluation== | ||
*Obtain radiographs to rule-out avulsion fracture | *Obtain radiographs to rule-out avulsion fracture | ||
Revision as of 12:33, 26 July 2016
Background
- Injury is rare and almost always occurs distally
- Results from FOOSH causing flexion of extended elbow or direct blow to olecranon
Clinical Features
- Pain and swelling posteriorly just proximal to the olecranon
- Sulcus with a more proximal mass (retracted triceps) may be palpated
- With complete rupture ability to extend the elbow is lost
Evaluation
- Obtain radiographs to rule-out avulsion fracture
Differential Diagnosis
Elbow Diagnoses
Radiograph-Positive
- Distal humerus fracture
- Radial head fracture
- Capitellum fracture
- Olecranon fracture
- Elbow dislocation
Radiograph-Negative
- Biceps tendon rupture/dislocation
- Lateral epicondylitis
- Medial epicondylitis
- Olecranon bursitis (nonseptic)
- Pronator teres syndrome
- Septic bursitis
Pediatric
- Nursemaid's elbow
- Supracondylar fracture
- Lateral epicondyle fracture
- Medial epicondyle fracture
- Olecranon fracture
- Radial head fracture
- Salter-Harris fractures
Shoulder and Upper Arm Diagnoses
Traumatic/Acute:
- Shoulder Dislocation
- Clavicle fracture
- Humerus fracture
- Scapula fracture
- Acromioclavicular joint injury
- Glenohumeral instability
- Rotator cuff tear
- Biceps tendon rupture
- Triceps tendon rupture
- Septic joint
Nontraumatic/Chronic:
- Rotator cuff tear
- Impingement syndrome
- Calcific tendinitis
- Adhesive capsulitis
- Biceps tendinitis
- Subacromial bursitis
- Cervical radiculopathy
Refered pain & non-orthopedic causes:
- Referred pain from
- Neck
- Diaphragm (e.g. gallbladder disease)
- Brachial plexus injury
- Axillary artery thrombosis
- Thoracic outlet syndrome
- Subclavian steal syndrome
- Pancoast tumor
- Myocardial infarction
- Pneumonia
- Pulmonary embolism
Management
- Sling, ice, and referral to ortho
- Most partial tears can be treated conservatively with immobilization