title: Triceps tendon avulsion: a rare injury.
abstract: BACKGROUND
  Triceps tendon avulsion is one of the rare tendinous injuries. Such injuries can easily be missed, and should be kept as a differential diagnosis in all patients who present with pain and swelling at the back of the elbow after a traumatic event.
  
  
  METHODS
  We present a case of triceps tendon avulsion which was missed in the initial workup by a local practitioner. Careful physical examination and evaluation of the X-rays clinched the diagnosis. The patient was treated surgically by transosseous suture technique using the Krakow method. The end result was a good range of movement and a power equal to the uninjured side. A high index of suspicion, physical examination seeking a palpable gap, and search for a 'flake' fracture on lateral radiographs will help make the diagnosis of triceps avulsion. Early recognition of these injuries and prompt intervention are the cornerstones of a successful outcome. A second examination after a few days, when the swelling has reduced, should be the standard in doubtful cases or during any unclear joint injury. We recommend a primary repair through a transosseous suture technique using Krakow method for optimal results.
authors.affiliation: Department of Orthopaedics & Traumatology, Gandhi Medical College & Hamidia Hospital, India.
authors.forename: Pulak
authors.initials: P
authors.lastname: Sharma
authors.affiliation: Department of Orthopaedics & Traumatology, Gandhi Medical College & Hamidia Hospital, India.
authors.forename: Mayank
authors.initials: M
authors.lastname: Vijayargiya
authors.affiliation: Department of Orthopaedics & Traumatology, Gandhi Medical College & Hamidia Hospital, India.
authors.forename: Suneet
authors.initials: S
authors.lastname: Tandon
authors.affiliation: Department of Orthopaedics & Traumatology, Gandhi Medical College & Hamidia Hospital, India.
authors.forename: Sanjeev
authors.initials: S
authors.lastname: Gaur
mesh_terms: D000328:Adult; D004550:Elbow; D006801:Humans; D008297:Male; D011859:Radiography; D012421:Rupture / Q000000981:diagnostic imaging; D013708:Tendon Injuries / Q000000981:diagnostic imaging*; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging*
keywords: Ethibond; Krakow; Triceps avulsion