Rupture of Distal Tendon of the Triceps Brachii Muscle

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概要

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• A 24-year-old soldier had a partial rupture of his left triceps brachii tendon while sumo wrestling.The elbow joint was immobilized for three weeks. One month after the first accident, he tubled and fell on his left hand.The signs were: 1) a gap into which a thumb tip could be introduced: 2) loss of contour of the muscle belly of the long head: 3) reduced extension force of the elbow.A surgical repair for the triceps tendon was performed. At operation, it revealed that tendon rupture had occured at its insertion to the olecranon, the torn end was retracted about 2cm from the bone.All interposed scar tissue was resected back to normal tendon proximally, and bone marrow was denuded at the site of the tendon insertion distally.The tendon was anchored to the olecranon with Lambott's wire, which passed through the tendon and through holes drilled in the bone. Then this was reinforced with the fascia lata covered over the distal portion of the triceps tendon and the olecranon. A plaster splint was applied with the elbow extended.

• 西日本整形・災害外科学会の論文

著者

• 三輪 信二

  九州厚生年金病院

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