What’s the Diagnosis – Case 94
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What’s the Diagnosis – Case 94
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What’s the Diagnosis – Case 94
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What’s the Diagnosis – Case 94
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What’s the Diagnosis – Case 94
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What’s the Diagnosis – Case 94
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What’s the Diagnosis – Case 94
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What’s the Diagnosis – Case 94
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What’s the Diagnosis – Case 94
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What’s the Diagnosis – Case 94
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Findings Four similar cases but all slightly different. All involve varying degrees of disruption of the superficial and deep attachments of the triceps, bony avulsion, edema of the olecranon and post traumatic fluid collection/olecranon bursitis.
What’s the Diagnosis – Case 94
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What’s the Diagnosis – Case 94
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What’s the Diagnosis – Case 94
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What’s the Diagnosis – Case 94
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What’s the Diagnosis – Case 94
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What’s the Diagnosis – Case 94
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What’s the Diagnosis – Case 94
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Diagnosis: Triceps Injury A more general term is given for this diagnosis than most because shown is a spectrum of injury from strain to partial to complete disruption. Particularly in the first case, the ossification may represent heterotopic ossification from injury but the timing and suggestion of a donor site favors avulsion of an enthesophyte. Even in the setting of an avulsed enthesophyte, the attached tendon or ligament typically sustains a degree of injury and hence will not appear normal on MRI exam. Except in the setting of very high force injury, normal tendons and ligaments tend not to be disrupted. Therefore, in the setting of trauma to a ligament or tendon, the underlying architecture of the structure is typically heterogeneous related to underlying pathology as well as the recent injury. The triceps insertion is actually a superficial tendinous attachment of the long head and lateral head and a deep muscular attachment of the medial head. As is shown in these cases, there can be varying involvement of both heads and varying degrees of residual function. The degree of injury and functional needs of the patient also drive whether or not surgery is required or not. In the first case, the enthesophyte was removed with the injured tendon directly attached to the bone via a bioabsorbable fixation device.
What’s the Diagnosis – Case 94
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What’s the Diagnosis – Case 94
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