Management of a Rare Complex Elbow Injury: Anatomic Reconstruction of the Triceps Footprint Combined with Radial Head Arthroplasty – A Case Report
Year: 2026
Type: article
Abstract: Introduction: 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. Case Report: 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. Conclusion: 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.
Language: English
Subfield: Orthopedics and Sports Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $250
OpenAlex ID: W7225596357
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