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

G. Giannicola, G. Bullitta, Roberto Rotini, L. Murena, D. Blonna, M. Iapicca, G. Restuccia, G. Merolla, M. Fontana, A. Greco, M. Scacchi, G. Cinotti

Research output: Contribution to journalArticle

2 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)610-616
Number of pages7
JournalThe bone & joint journal
Volume100-B
Issue number5
DOIs
Publication statusPublished - May 1 2018

Fingerprint

Tendons
Rupture
Population
Elbow
Arm
Hand
Suture Anchors
Muscle Strength
Chronic Kidney Failure
Biomedical Research
Comorbidity
Joints
Bone and Bones

Keywords

  • Elbow
  • Tendon injury
  • Tendon reconstruction
  • Tendon reinsertion
  • Trauma
  • Triceps tendon

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Results of primary repair of distal triceps tendon ruptures in a general population. / Giannicola, G.; Bullitta, G.; Rotini, Roberto; Murena, L.; Blonna, D.; Iapicca, M.; Restuccia, G.; Merolla, G.; Fontana, M.; Greco, A.; Scacchi, M.; Cinotti, G.

In: The bone & joint journal, Vol. 100-B, No. 5, 01.05.2018, p. 610-616.

Research output: Contribution to journalArticle

Giannicola, G, Bullitta, G, Rotini, R, Murena, L, Blonna, D, Iapicca, M, Restuccia, G, Merolla, G, Fontana, M, Greco, A, Scacchi, M & Cinotti, G 2018, 'Results of primary repair of distal triceps tendon ruptures in a general population', The bone & joint journal, vol. 100-B, no. 5, pp. 610-616. https://doi.org/10.1302/0301-620X.100B5.BJJ-2017-1057.R2
Giannicola, G. ; Bullitta, G. ; Rotini, Roberto ; Murena, L. ; Blonna, D. ; Iapicca, M. ; Restuccia, G. ; Merolla, G. ; Fontana, M. ; Greco, A. ; Scacchi, M. ; Cinotti, G. / Results of primary repair of distal triceps tendon ruptures in a general population. In: The bone & joint journal. 2018 ; Vol. 100-B, No. 5. pp. 610-616.
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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.",
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AU - Giannicola, G.

AU - Bullitta, G.

AU - Rotini, Roberto

AU - Murena, L.

AU - Blonna, D.

AU - Iapicca, M.

AU - Restuccia, G.

AU - Merolla, G.

AU - Fontana, M.

AU - Greco, A.

AU - Scacchi, M.

AU - Cinotti, G.

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N2 - 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.

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.

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KW - Tendon reconstruction

KW - Tendon reinsertion

KW - Trauma

KW - Triceps tendon

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