Arthroscopy Techniques (Jan 2019)

Distal Triceps Rupture Repair: The Triceps Pulley-Pullover Technique

  • Richard A.C. Dimock, M.Eng., M.B.B.S., M.R.C.S.,
  • Christina Kontoghiorghe, M.B.B.S., B.Sc., M.R.C.S.,
  • Paolo Consigliere, M.D.,
  • Shadi Salamat,
  • Mohamed A. Imam, M.D., M.Sc.(Orth.) (Hons.), Ph.D., F.R.C.S. (Tr. & Orth.),
  • A. Ali Narvani, B.Sc., M.B.B.S.(Hons.), M.Sc.(Sports Med.) (Hons.), F.R.C.S.(Tr. & Orth.), M.F.S.E.M.(U.K.)

Journal volume & issue
Vol. 8, no. 1
pp. e85 – e91

Abstract

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Distal triceps rupture is an uncommon but debilitating injury, and surgical fixation is almost invariably warranted. A number of techniques have been described in the literature in which combinations of transosseous tunnels and bone anchors have been used. We describe a modification to existing techniques—the triceps pulley-pullover technique with all-suture anchors. This technique minimizes bone loss, while maximizing the bone-tendon contact area and creating a double-row repair to optimize strength and healing.