Triceps tendon rupture: Difference between revisions
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*Sulcus with a more proximal mass (retracted triceps) may be palpated | *Sulcus with a more proximal mass (retracted triceps) may be palpated | ||
*With complete rupture ability to extend the elbow is lost | *With complete rupture ability to extend the elbow is lost | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{Elbow DDX}} | {{Elbow DDX}} | ||
{{Shoulder DDX}} | |||
==Evaluation== | |||
*Obtain radiographs to rule-out avulsion fracture | |||
==Management== | ==Management== | ||
*Sling, ice, and referral to ortho | *Sling, ice, and referral to ortho | ||
*Most partial tears can be treated conservatively with immobilization | *Most partial tears can be treated conservatively with immobilization | ||
==Disposition== | |||
*Outpatient management | |||
==See Also== | ==See Also== | ||
| Line 28: | Line 30: | ||
[[Category:Orthopedics]] | [[Category:Orthopedics]] | ||
[[Category:Sports Medicine]] | |||
Latest revision as of 01:52, 10 May 2019
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
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
Evaluation
- Obtain radiographs to rule-out avulsion fracture
Management
- Sling, ice, and referral to ortho
- Most partial tears can be treated conservatively with immobilization
Disposition
- Outpatient management