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Peer-reviewedCC BY-NCJournal of orthopaedic case reports

Management of a Rare Complex Elbow Injury: Anatomic Reconstruction of the Triceps Footprint Combined with Radial Head Arthroplasty - A Case Report.

  • Nikolaos Georgiadis1
  • Nikolaos Manidakis1
  • Alexandros Topaloglou1
  • Konstantinos Asteriadis1
  • Efstathios Kalyvas1
  1. 1Department of Orthopaedic Surgery and Traumatology, Sports Injuries Unit, General Hospital of Thessaloniki, Thessaloniki, Greece.
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Abstract

Distal triceps tendon rupture is a rare injury that may coexist with other traumatic lesions around the elbow. The combination of distal triceps tendon rupture and radial head fracture is particularly uncommon and may be difficult to diagnose and treat. We report the case of a 60-year-old woman who presented with pain, swelling, and inability to actively extend the left elbow after a fall onto an outstretched hand. Clinical examination showed tenderness over the radial head and a palpable gap at the triceps insertion. Radiographs demonstrated a radial head fracture and the Fleck sign, suggestive of distal triceps avulsion. Computed tomography confirmed a comminuted intra-articular Mason type III radial head fracture. The patient underwent single-stage surgical treatment consisting of knotless anatomic triceps footprint repair with intraosseous sutures and press-fit radial head arthroplasty. Post-operative rehabilitation was progressive and protected. Combined distal triceps tendon rupture and radial head fracture is a rare complex elbow injury that may be overlooked. Thorough clinical and radiological assessment is essential. Single-stage treatment of all associated lesions may restore elbow stability and provide satisfactory functional outcome.

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Cite

BibTeXRIS
BibTeX
@article{georgiadis2026management,
  title = {{Management of a Rare Complex Elbow Injury: Anatomic Reconstruction of the Triceps Footprint Combined with Radial Head Arthroplasty - A Case Report.}},
  author = {Nikolaos Georgiadis and Nikolaos Manidakis and Alexandros Topaloglou and Konstantinos Asteriadis and Efstathios Kalyvas},
  journal = {Journal of orthopaedic case reports},
  year = {2026},
  month = nov,
  doi = {10.13107/jocr.2026.v16.i11.8402},
  url = {https://europepmc.org/article/MED/42997100},
  note = {CC BY-NC},
}
RIS
TY  - JOUR
TI  - Management of a Rare Complex Elbow Injury: Anatomic Reconstruction of the Triceps Footprint Combined with Radial Head Arthroplasty - A Case Report.
AU  - Nikolaos Georgiadis
AU  - Nikolaos Manidakis
AU  - Alexandros Topaloglou
AU  - Konstantinos Asteriadis
AU  - Efstathios Kalyvas
PY  - 2026
DA  - 2026/11/01
JO  - Journal of orthopaedic case reports
DO  - 10.13107/jocr.2026.v16.i11.8402
UR  - https://europepmc.org/article/MED/42997100
AB  - Distal triceps tendon rupture is a rare injury that may coexist with other traumatic lesions around the elbow. The combination of distal triceps tendon rupture and radial head fracture is particularly uncommon and may be difficult to diagnose and treat. We report the case of a 60-year-old woman who presented with pain, swelling, and inability to actively extend the left elbow after a fall onto an outstretched hand. Clinical examination showed tenderness over the radial head and a palpable gap at the triceps insertion. Radiographs demonstrated a radial head fracture and the Fleck sign, suggestive of distal triceps avulsion. Computed tomography confirmed a comminuted intra-articular Mason type III radial head fracture. The patient underwent single-stage surgical treatment consisting of knotless anatomic triceps footprint repair with intraosseous sutures and press-fit radial head arthroplasty. Post-operative rehabilitation was progressive and protected. Combined distal triceps tendon rupture and radial head fracture is a rare complex elbow injury that may be overlooked. Thorough clinical and radiological assessment is essential. Single-stage treatment of all associated lesions may restore elbow stability and provide satisfactory functional outcome.
SN  - 2250-0685
SN  - 2321-3817
ER  -