Complications and outcomes associated with 13 cases of triceps tendon disruption in dogs and cats (2003–2014)

This study reports data from a larger number of cases of triceps tendon disruption. Records from 10 veterinary referral hospitals between 2003 and 2014 were searched for canine and feline cases diagnosed with triceps tendon disruption, based on orthopaedic examination confirmed during surgery. Long-term follow-up and owner satisfaction were assessed using a questionnaire. There were 13 cases of triceps tendon disruption diagnosed across seven hospitals (nine dogs, four cats). Trauma, history or presence of a wound, surgery in the region of tendon attachment or corticosteroid treatment preceded triceps tendon disruption. Radiographic signs or histopathology suggestive of a chronic tendinopathy was common. All cases underwent surgical repair involving a tendon suture pattern, 12 of which were secured through bone tunnels. Immobilisation was used in all cases in the form of transarticular external skeletal fixation (TAESF) (8/9 dogs) or spica splint (four cats, two dogs; in one dog a TAESF was applied after complications associated with the spica splint). Complications occurred in 11 cases (17 total complications), frequently associated with the immobilisation method. One case had traumatic tendon rerupture two years following surgery. A wound at presentation was associated with the development of multiple complications. Nine cases had long-term follow-up; five achieved normal function, four achieved acceptable function. Despite the complications, overall return to subjective normal or acceptable function, as assessed by the owners, was achieved in the majority of cases.

[1]  T. Mauntel,et al.  Outcomes and complications of triceps tendon repair following acute rupture in American military personnel. , 2016, Injury.

[2]  Y. Tanwar,et al.  Rupture of the triceps tendon – A case series , 2016, Chinese journal of traumatology = Zhonghua chuang shang za zhi.

[3]  J. Bleedorn,et al.  Reconstruction of chronic triceps tendon avulsion using synthetic mesh graft in a dog , 2015, Veterinary and Comparative Orthopaedics and Traumatology.

[4]  Rakesh P. Mashru,et al.  Diagnosis and Treatment of Triceps Tendon Injuries: A Review of the Literature , 2014, Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine.

[5]  I. Calvo,et al.  Surgical management and follow-up of triceps tendon avulsion after repeated local infiltration of steroids: two cases , 2014, Veterinary and Comparative Orthopaedics and Traumatology.

[6]  Hun-Young Yoon,et al.  Traumatic Triceps Tendon Avulsion in a Dog: Magnetic Resonance Imaging and Surgical Management Evaluation , 2013, The Journal of veterinary medical science.

[7]  M. Conzemius,et al.  Proposed definitions and criteria for reporting time frame, outcome, and complications for clinical orthopedic studies in veterinary medicine. , 2010, Veterinary surgery : VS.

[8]  G. Balian,et al.  Tendon: biology, biomechanics, repair, growth factors, and evolving treatment options. , 2008, The Journal of hand surgery.

[9]  S. Clarke,et al.  Avulsion of the triceps tendon insertion in a cat , 2007, Veterinary and Comparative Orthopaedics and Traumatology.

[10]  D. Lorinson,et al.  Traumatic triceps tendon avulsion in a cat. , 2006, The Journal of small animal practice.

[11]  D. Marcellin-Little,et al.  Use of hinged transarticular external fixation for adjunctive joint stabilization in dogs and cats: 14 cases (1999-2003). , 2005, Journal of the American Veterinary Medical Association.

[12]  S. Bilgin,et al.  Repair of neglected Achilles tendon ruptures: procedures and functional results , 1997, Archives of Orthopaedic and Trauma Surgery.

[13]  L. Józsa,et al.  Calcifying tendinopathy , 2004, Archives of orthopaedic and traumatic surgery.

[14]  B. Morrey,et al.  Surgical treatment of distal triceps ruptures. , 2003, The Journal of bone and joint surgery. American volume.

[15]  R. Singh,et al.  Complete rupture of the triceps brachii muscle , 2002, British journal of sports medicine.

[16]  N. Sasaki,et al.  Elongation mechanism of collagen fibrils and force-strain relations of tendon at each level of structural hierarchy. , 1996, Journal of biomechanics.

[17]  T. Noakes,et al.  Rupture of the triceps tendon associated with steroid injections. , 1995, The American journal of sports medicine.

[18]  J. Stannard,et al.  Rupture of the triceps tendon associated with steroid injections , 1993, The American journal of sports medicine.

[19]  C. Bellenger,et al.  Calcifying tendinopathy of the biceps brachii in a dog. , 1992, Journal of the American Veterinary Medical Association.

[20]  S. O’Driscoll Intramuscular triceps rupture. , 1992, Canadian journal of surgery. Journal canadien de chirurgie.

[21]  J. G. Douglas,et al.  Achilles tendon rupture: an underrated complication of corticosteroid treatment. , 1991, Thorax.

[22]  E. Egger Complications of external fixation. A problem-oriented approach. , 1991, The Veterinary clinics of North America. Small animal practice.

[23]  D. G. Jones,et al.  Triceps tendon rupture in the dog following corticosteroid injection , 1982 .

[24]  R. Dueland,et al.  Triceps tenotomy: biomechanical assessment of healing strength. , 1980 .

[25]  J. D. Visser [Achilles tendon rupture]. , 1980, Nederlands tijdschrift voor geneeskunde.

[26]  D. Nagel,et al.  Tendon ruptures associated with corticosteroid therapy. , 1977, The Western journal of medicine.

[27]  M. L. Olix,et al.  The effect of local steroid injections on tendon , 1973, The Journal of sports medicine.

[28]  I. M. Arnold,et al.  Skiing injuries in Canada: A coast-to-coast study , 1973, The Journal of sports medicine.

[29]  F. F. Tarsney Rupture and avulsion of the triceps. , 1972, Clinical orthopaedics and related research.

[30]  E. Peacock A Study of the Circulation in Normal Tendons and Healing Grafts* , 1959, Annals of surgery.

[31]  Lipscomb Pr,et al.  Disruption of muscles and tendons; an analysis of 1, 014 cases. , 1959 .

[32]  P. Lipscomb,et al.  Disruption of muscles and tendons; an analysis of 1, 014 cases. , 1959, Surgery.