Distal triceps tendinopathies

Abstract

Tendinopathy of the distal triceps represents a rare pathology in the upper extremity. Although there is scant scientific evidence published to date, the association with risk factors such as internal diseases or steroid use is commonly described in various reports. Due to traumatic incidents or sporting overuse, partial or complete ruptures can occur. Clinically, stress-related posterior elbow pain, swelling, ecchymosis, loss of strength in extension, and a palpable gap in the tendon can be seen. Physical examination shows reduced extension force and increasing pain with forced extension against resistance. Tendinopathies and resulting partial or complete ruptures can be detected by ultrasound and magnetic resonance imaging. Conservative therapy with temporary immobilization is recommended for tendinopathies or minor ruptures of the triceps tendon. Complete ruptures or larger partial ruptures should be treated surgically with anatomical refixation of the tendon.