Int J Sports Med 2000; 21(4): 308-310
DOI: 10.1055/s-2000-9468
Orthopedics and Clinical Science
Georg Thieme Verlag Stuttgart ·New York

Acute Ulnar Nerve Compression Syndrome in a Powerlifter with Triceps Tendon Rupture - A Case Report

J. Duchow, J. Kelm, D. Kohn
  • Orthopädische Universitätsklinik, Homburg Saar, Germany
Further Information

Publication History

Publication Date:
31 December 2000 (online)

We report on the case of a bodybuilder and powerlifter who suffered from triceps tendon rupture complicated by acute ulnar nerve compression syndrome. The diagnosis was made clinically, radiologically, and sonographically. Ultrasound was helpful to demonstrate a large hematoma at the site of the injury. Early surgical intervention confirmed the presence of the hematoma compressing the ulnar nerve and led to a complete restoration of ulnar nerve and triceps muscle function. Few reports on distal triceps rupture have been published but its complication by acute ulnar nerve compression has not been reported on yet despite the close anatomical relationship of both structures.

References

  • 01 Anderson R L. Traumatic rupture of the triceps tendon.  J Trauma. 1979;  19 134
  • 02 Bach B R Jr, Warren R F, Wickiewicz T L. Triceps rupture. A case report and literature review.  Am J Sports Med. 1987;  15 285-289
  • 03 Bindl G, Holz U. Subcutaneous tendon ruptures of the upper arm.  Akt Traumatol. 1988;  18 68-72
  • 04 Bos F FA, Nelissen R GHH, Bloem J L. Incomplete rupture of the tendon of triceps brachii.  Int Orthop. 1994;  18 273-275
  • 05 Brumback R J. Compartment syndrome complicating avulsion of the origin of the triceps muscle. A case report.  J Bone Joint Surg [Am]. 1987;  69 1445-1447
  • 06 Clayton M L, Thirupathi R G. Rupture of the triceps tendon with olecranon bursitis. A case report with a new method of repair.  Clin Orthop. 1984;  184 183-185
  • 07 Farrar E L, Lippert F G. Avulsion of the triceps tendon.  Clin Orthop. 1981;  161 242-246
  • 08 Felanda M, Steinbrück K. Rupture of the triceps tendon in the athlete.  Sportverletz Sportschaden. 1988;  2 120-121
  • 09 Habernek H, Hertz H. Rupture of the triceps tendon - a case report.  Unfallchirurg. 1988;  91 145-147
  • 10 Herrick R T, Herrick S. Ruptured triceps in a powerlifter presenting as cubital tunnel syndrome. A case report.  Am J Sports Med. 1987;  15 514-516
  • 11 Holleb P D, Bach B R Jr. Triceps brachii injuries.  Sports Med. 1990;  10 273-276
  • 12 Kaempffe F A, Lerner R M. Ultrasound diagnosis of triceps tendon rupture. A report of 2 cases.  Clin Orthrop. 1996;  332 138-142
  • 13 O'Hara J J, Stone J H. Ulnar nerve compression at the elbow caused by a prominent medial head of the triceps and an anconeus epitrochlearis muscle.  J Hand Surg [Br]. 1996;  21 133-135
  • 14 Pantazopoulos T, Exarchou E, Stavrou Z, Hartofilakidis-Garofalidis G. Avulsion of the triceps tendon.  J Trauma. 1975;  15 827-829
  • 15 Searfoss R, Tripi J, Bowers W. Triceps brachii rupture: case report.  J Trauma. 1976;  16 244-246
  • 16 Sherman O H, Snyder S J, Fox J M. Triceps tendon avulsion in a professional body builder. A case report.  Am J Sports Med. 1984;  12 328-329
  • 17 Sollender J L, Rayan G M, Barden G A. Triceps tendon rupture in weight lifters.  J Shoulder Elbow Surg. 1998;  7 151-153
  • 18 Stannard J P, Bucknell A L. Rupture of the triceps tendon associated with steroid injections.  Am J Sports Med. 1993;  21 482-485
  • 19 Tarsney F F. Rupture and avulsion of the triceps.  Clin Orthop. 1972;  83 177-183
  • 20 Waugh R L, Hatchcock T A, Elliot J L. Ruptures of muscle and tendons.  Surgery. 1949;  25 370-392

D. M. Jochen Duchow

Orthopädische Universitätsklinik Homburg Saar Universität des Saarlandes

66424 Homburg Saar

Germany

Phone: + 49 (6841) 164500

Fax: + 49 (6841) 164580

Email: orjduc@med-rz.uni-sb.de

    >