Dr. Kevin Yip

Dr Kevin Yip
Orthopaedic Surgeon
MBBS(UK), FRCS(EDIN), FAM(SING), FHKCOS(ORTHO)

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Triceps Tendon Rupture

SYMPTOMS

There is acute onset of pain and bleeding around the triceps, tendor insection at the olecranon of the elbow, and loss of extension power.

AETIOLOGY

This is an injury occurring from an excessive eccentric contraction or direct impact to the elbow, often affecting players in contact sports. Occasionally an avulsion fracture may occur.

CLINICAL FINDINGS

There is tenderness on palpation over the olecranon and pain and weakness on resisted elbow extension.

INVESTIGATIONS

X-ray and MRI are usually normal.

TREATMENT

Partial tears can be treated with two to four weeks’ immobilisation, followed by progressive rehabilitation over three months. A complete rupture requires surgical re-fixation.

REFERRALS

Refer to Dr Kevin Yip (+65 9724 1219) senior consultant orthopaedic surgeon if this diagnosis is suspected or if the diagnosis is not clear.

EXERCISE PRESCRIPTION

Many sports can be maintained during healing but throwing manoeuvres are not allowed. Running and cycling are good alternatives to keep up general fitness.

EVALUATION OF TREATMENT OUTCOMES

Normal clinical symptoms and signs and good elbow function. Compare with other elbow.

DIFFERENTIAL DIAGNOSES

Avulsion fracture, which is treated surgically.

PROGNOSIS

Excellent, if treated appropriately.

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