A triceps tendon rupture is an uncommon injury to the elbow that can be very debilitating. The triceps tendon is the large muscle in the back of the upper arm that serves to straighten the elbow. The triceps tendon attaches the triceps muscle to the olecranon (the bony tip of the elbow). Injury to the tendon is almost always traumatic and requires a significant amount of force. The mechanism usually involves a force that suddenly bends the elbow while the muscle is trying to straighten it. It can occur in weightlifting or in contact and collision sports such as football.
Mechanism of injury
Injury to the triceps tendon is almost always traumatic, and the athlete will know immediately that a serious injury has occurred. Often he will describe feeling or hearing a pop in his elbow. A physician examining the injury will notice swelling and often bruising at the back of the elbow and upper arm almost immediately. Usually a defect just above the olecranon where the tendon inserts can be felt. The athlete will usually have weakness trying to straighten the elbow against resistance. The physician will usually order x-rays to determine if the injury pulled a piece of bone off the olecranon. Occasionally an MRI is ordered if the diagnosis is unclear.
Triceps tendon injury
Treatment of a triceps tendon rupture
Treatment involves surgery to repair the tendon. The surgeon will make an incision over the back of the elbow to expose the ruptured tendon and repair it to bone. The repair involves placing stitches in the tendon and anchoring them to the tip of the elbow either with suture anchors or through tunnels drilled in the bone. As with most tendon repairs, the surgeon then has to get the tendon to heal in that position. Healing involves immobilizing the elbow to prevent stress on the repair for several weeks. Gradually motion is started slowly and progressed over many weeks. When full motion of the elbow has been restored, strengthening of the triceps muscle and other muscles of the upper extremity is started. Unfortunately, the full recovery process is a long one. Return to sports can take many months, and therefore this is usually a season-ending injury.
I want to help you! Please take a few seconds to share the biggest challenge or struggle you’re facing with your injury! Click here!
Recommended Products and Resources
Click here to go to Dr. David Geier’s Amazon Influencer store!
Due to a large number of questions I have received over the years asking about products for health, injuries, performance, and other areas of sports, exercise, work and life, I have created an Amazon Influencer page. While this information and these products are not intended to treat any specific injury or illness you have, they are products I use personally, have used or have tried, or I have recommended to others. THE SITE MAY OFFER HEALTH, FITNESS, NUTRITIONAL AND OTHER SUCH INFORMATION, BUT SUCH INFORMATION IS DESIGNED FOR EDUCATIONAL AND INFORMATIONAL PURPOSES ONLY. THE CONTENT DOES NOT AND IS NOT INTENDED TO CONVEY MEDICAL ADVICE AND DOES NOT CONSTITUTE THE PRACTICE OF MEDICINE. YOU SHOULD NOT RELY ON THIS INFORMATION AS A SUBSTITUTE FOR, NOR DOES IT REPLACE, PROFESSIONAL MEDICAL ADVICE, DIAGNOSIS, OR TREATMENT. THE SITE IS NOT RESPONSIBLE FOR ANY ACTIONS OR INACTION ON A USER’S PART BASED ON THE INFORMATION THAT IS PRESENTED ON THE SITE. Please note that as an Amazon Associate I earn from qualifying purchases.