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Triceps Tendinitis M65.829 727.09

elbow bony anatomy

 

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