Endoscopic Distal Triceps Repair

Endoscopic distal triceps tendon repair is a reliable and reproducible technique to address both degenerative and traumatic triceps tendon injuries. The most preferred technique for repairing a distal triceps tendon tear is through an open posterior approach and may be associated with wound healing problems and increased surgical site morbidity. Using an all-arthroscopic technique does give the treating surgeon the ability to fully assess the injury, debride the damage tissue, and anatomically repair the distal triceps tendon to its normal attachment footprint on the olecranon. Endoscopic repair allows for less wound complications, better cosmesis, and shortened postoperative recovery. Concomitant elbow pathology and injuries can be identified and addressed during the arthroscopic procedure. Patients should be braced to prevent full flexion initially during the postoperative period and gradual pain-free motion is increased until full range of motion is obtained. Gradual strengthening should be initiated by 4 weeks postoperatively in the brace and progressively out of the brace 6–8 weeks. Early results of the endoscopic distal triceps tendon repair are promising.