synonyms: triceps tendinosis, triceps tendinopathy
Triceps Tendinitis ICD-10
Triceps Tendinitis ICD-9
- 727.09 (other synovitis and tenosynovitis)
Triceps Tendinitis Etiology / Epidemiology / Natural History
- Generally associated with loose bodies in the posterior compartment of the elbow, or with lateral epicondylitis.
- Associated with baseball, weightlifting and occupations involving repetitive elbow extension.
Triceps Tendinitis Anatomy
- Triceps anatomy.
- Distally the triceps tendon consists of two bands that join together above the elbow and insert into the posterior portion of the dorsal surface of the olecranon.
- The lateral band extends over the anconeus muscle inserting into the dorsal fascia of the forearm.
Triceps Tendinitis Clinical Evaluation
- Pain, tenderness in the triceps tendon insertion into the olecranon.
- Pain exacerbated by elbow forced elbow extension.
- Consider local lidocaine injection into area of maximal tenderness. Relief of symptoms indicates triceps tendinitis.
Triceps Tendinitis Xray / Diagnositc Tests
- A/P and lateral elbow usually normal
- Evaluate for ulnar traction spurs, loose bodies in the posterior compartment of the elbow.
- MRI rarely indicated, demonstrates inflammatory changes within triceps tendon.
Triceps Tendinitis Classification / Treatment
- Cessation of offending activity is required initially.
- Avoid immobilization/inactivity which leads to disuse atrophy
- Ice 20minutes 3-4x/day
- Oral anti-inflammatory for 10-14 days
- Consider surgical excision / debridement of degenerative tendinous tissue if fails to improve with at least one year of non-operative treatment.
Triceps Tendinitis Associated Injuries / Differential Diagnosis
- Lateral epicondylitis
- Medial epicondylitis
- Posterior Elbow Impingement
- Elbow Arthritis
- Olecronon Bursitis
- Synovial Plica Syndrome
- Snapping triceps
- Radiocapitellar Arthritis
Triceps Tendinitis Complications
- Persistent pain of varying degree
- Residual strength deficit
- Functional limitations
Triceps Tendinitis Follow-up Care
- Stretching and progressive isometric exercises. Later begin eccentric and concentric exercises when symptoms subside.
- Surgery=posterior mold for 7-10days. Then progressive mobilization/gentle passive and active elbow, wrist, hand motion. Resisted isometrics at 4wks, progressive strengthening at 6 wks. Return to lifting/athletics usually by 3-4 month.
Triceps Tendinitis Review References