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Case Reports in Orthopedics
Volume 2014, Article ID 962930, 6 pages
Case Report

Synthetic Augmented Suture Anchor Reconstruction for a Complete Traumatic Distal Triceps Tendon Rupture in a Male Professional Bodybuilder with Postoperative Biomechanical Assessment

1Sport Biomechanics Laboratory, Department of Physical Education and Sport Science, National and Kapodistrian University of Athens, Ethnikis Antistasis 41, Dafne, 172-37 Athens, Greece
2Clinic of Orthopedics and Sports Orthopedics, Rechts der Isar Hospital, Technical University of Munich, Ismaninger Street 22, 81675 Munich, Germany
3Department of Orthopaedics, “Laiko” General Hospital, Agiou Thoma Street 17, 11527 Athens, Greece

Received 11 December 2013; Accepted 6 January 2014; Published 16 February 2014

Academic Editors: K. Ogawa and G. Singer

Copyright © 2014 Maria-Elissavet Nikolaidou et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Bodybuilding is a high-risk sport for distal triceps tendon ruptures. Management, especially in high-demanding athletes, is operative with suture anchor refixation technique being frequently used. However, the rate of rerupture is high due to underlying poor tendon quality. Thus, additional augmentation could be useful. This case report presents a reconstruction technique for a complete traumatic distal triceps tendon rupture in a bodybuilder with postoperative biomechanical assessment. A 28-year-old male professional bodybuilder was treated with a synthetic augmented suture anchor reconstruction for a complete triceps tendon rupture of his right dominant elbow. Postoperative biomechanical assessment included isokinetic elbow strength and endurance testing by using multiple angular velocities to simulate the “off-season” and “precompetition” phases of training. Eighteen months postoperatively and after full return to training, the biomechanical assessment indicated that the strength and endurance of the operated elbow joint was fully restored with even higher ratings compared to the contralateral healthy arm. The described reconstruction technique can be considered as an advisable option in high-performance athletes with underlying poor tendon quality due to high tensile strength and lack of donor site morbidity, thus enabling them to restore preinjury status and achieve safe return to sports.