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Triceps Tendinopathy: Difference between revisions

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Similar considerations apply to the diagnosis of triceps tendonitis. Using a similar search strategy to that described above, no primary articles concerning triceps tendonitis were found. Nirschl has coined the phrase “Posterior Tennis Elbow” for the entity 2. In a paragraph, again without references, he states that it is uncommon, but occurs in patients who have other posterior elbow problems. These include olecranon bursitis/exostosis, intra-articular lesions, olecranon fossa chondromalacia, exostoses and loose fragments. He suggests that the aetiology is repetitive elbow extension, as occurs in throwing sports. He only advances a surgical option for management. A more conventional “tendonitis” regime would seem more applicable in the acute setting. This would include rest, and ice initially, combined with some anti-inflammatory modalities, with the gentle introduction of stress to the tendon 3.  
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==Definition==
Tendinopathy and pain at the triceps tendon.


==Recommendation==
==Epidemiology==
In the absence of an evidence-base for either the diagnosis or the treatment of distal biceps tendonitis or triceps tendonitis,
Triceps tendinopathy is uncommon.


Treatment should be guided by avoiding investigation and expensive unproven modalities.
== Risk factors==
* It is sometimes seen in weight lifters or labourers.
*Repetitive elbow extension against resistance


An initial period of two weeks rest followed by gradual return to full activity is reasonable and falls within generally accepted principles of treatment of painful tendons.
==Diagnosis==
Pain at the posterior elbow with resisted elbow extension, and tenderness at the triceps insertion.


{{Template:Elbow Pain DDX}}


==References==
[[Category:Elbow and Forearm Conditions]]
 
1. Bennett JB. Lateral and medial epicondylitis. Hand Clin 1994; 10:157-163.
2. Nirschl RP. Elbow tendinosis/tennis elbow. Clin Sports Med 1992; 11:851-870.
3. Curwin SL. The aetiology and management of tendinitis. In: Oxford Textbook of Sports Medicine. Oxford: Oxford University Press, 1995:512-528.
 
[[Category:Elbow & Forearm]]
[[Category:Tendinopathies]]
[[Category:Tendinopathies]]

Latest revision as of 09:35, 3 March 2022

This article is a stub.

Definition

Tendinopathy and pain at the triceps tendon.

Epidemiology

Triceps tendinopathy is uncommon.

Risk factors

  • It is sometimes seen in weight lifters or labourers.
  • Repetitive elbow extension against resistance

Diagnosis

Pain at the posterior elbow with resisted elbow extension, and tenderness at the triceps insertion.

Differential Diagnoses

Lateral Elbow Pain

  • Lateral Elbow Tendinopathy
  • Referred pain (Cervical spine, Upper thoracic spine, Myofascial)
  • Synovitis of the radiohumeral joint
  • Radiohumeral bursitis
  • Radial Head Fractures
  • Radial Head Dislocation
  • Capitellar Osteochondritis Dissecans (Capitellum, Radius in adolescents)
  • Capitellar Osteochondrosis
  • Lateral Condyle Fracture
  • Capitellum Fracture
  • Lateral Collateral Ligament Complex Injury
  • Radial Head Subluxation (Nursemaid Elbow)
  • Radiocapitellar Osteoarthrosis
  • Bone Neoplasm
  • Soft Tissue Neoplasm
  • Posterolateral Rotary Instability
  • Posterior Interosseous Nerve Entrapment or Radial Neuropathy at the Spiral Groove
  • Posterolateral Plica Syndrome

Medial Elbow Pain

  • Medial Elbow Tendinopathy
  • Medial collateral ligament injury (acute and chronic)
  • Ulnar neuritis
  • Avulsion fracture of the medial epicondyle (children and adolescents)
  • Apophysitis (children and adolescents)
  • Referred pain (Cervical Radicular Pain, somatic referred myofascial pain)
  • Myofascial pain
  • Ulnar Neuropathy
  • Little Leaguer's Elbow
  • Triceps Tendinopathy and rupture
  • Fractures (Olecranon Fracture, Pediatric Medial Epicondyle Avulsion, Coronoid Process Fracture, Medial Condyle Fracture)
  • Medial epitrochlear lymphadenopathy (e.g. from cat-scratch disease)
  • Anconeus Epitrochlearis
  • Cyst, Mass, Foreign Body

Posterior Elbow Pain

Anterior Elbow Pain

Generalised

  • Osteoarthritis
  • If locking consider chondromalacia, osteochondritis, loose bodies
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