title: Chronic triceps insufficiency managed with extensor carpi radialis longus and palmaris longus tendon grafts.
abstract: Chronic triceps insufficiency, causing prolonged disability, occurs due to a missed diagnosis of an acute rupture. We report a 25 year old male with history of a significant fall sustaining multiple injuries. Since then, he had inability in extending his right elbow for which he sought intervention after a year. Diagnosis of triceps rupture was made clinicoradiologically and surgery was planned. Intraoperative findings revealed a deficient triceps with a fleck of avulsed bone from olecranon. Ipsilateral double tendon graft including extensor carpi radialis longus and palmaris longus were anchored to triceps and secured with the olecranon. Six-months follow revealed a complete active extension of elbow and a full function at the donor site.
authors.affiliation: Division of Orthopaedics, Rajah Muthiah Medical College and Hospital, Annamalai University, Chidambaram, Tamil Nadu, India.
authors.forename: Dhanpal
authors.initials: D
authors.lastname: Singh
authors.forename: K Arun
authors.initials: KA
authors.lastname: Kumar
authors.forename: Mc
authors.initials: M
authors.lastname: Dinesh
authors.forename: Ranju
authors.initials: R
authors.lastname: Raj