{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T22:04:04Z","timestamp":1790805844016,"version":"4.1.0"},"reference-count":31,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Sports Med"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Clinical outcomes after surgical repair of the distal triceps tendon are scarce and represented in small, heterogeneous case series.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To evaluate clinical and cosmetic outcomes after double-row repair in a high-demand athlete population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Case series; Level of evidence, 4.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>All patients who participated in regular weight lifting and underwent distal triceps tendon repairs between 2000 and 2021 in 2 centers were retrospectively contacted for informed consent and follow-up examination. Patients who received distal triceps tendon repair in double-row fashion with a minimum follow-up of 24 months were included. The American Shoulder and Elbow Surgeons (ASES) score, Single Assessment Numeric Evaluation (SANE) score, Mayo Elbow Performance Score (MEPS; without instability), and Disabilities of the Arm, Shoulder and Hand (DASH) score were surveyed. General satisfaction on a scale from 0 (very unsatisfied) to 10 (very satisfied) was evaluated. In addition, a customized sporting activities questionnaire including subjective strength perception (0%-100%), time to return to sport, sports performance (bench and triceps press), visual analog scale (VAS) pain score, cosmetic results, complications, and failures (rerupture or reoperation) was administered.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A total of 70 patients (all male) with a mean age of 50.9 \u00b1 8.7 years were included in this study. The mean follow-up was 86.9 \u00b1 51.4 months. The postoperative outcome scores were as follows: 97.8 \u00b1 4.8 for the ASES score, 93.6 \u00b1 10.9 for the SANE score, 2.2 \u00b1 5.5 for the DASH score, and 98.1 \u00b1 6.4 points for the MEPS. The median satisfaction score was 10 (IQR, 10-10). Postoperatively, patients subjectively achieved a 94% return of prior strength after a median of 7 months. In bench and triceps press, pre- to postoperative weight loads were a mean of 162.03 \u00b1 53.1 kg to 134.7 \u00b1 52.1 kg (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .001) and a median of 70 kg (IQR, 50-85 kg) to 60 kg (IQR, 50-60 kg) (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .001), respectively. The preoperative VAS score was 5.7 \u00b1 2.7 versus 0.2 \u00b1 0.6 postoperatively (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .001). Overall, 85.7% of patients were satisfied with the cosmetic result. In total, 6 reruptures (8.6%) and 1 infection (1.4%) were observed. All 7 patients underwent surgical revision.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Double-row reconstruction of distal triceps tendon ruptures achieved good clinical and cosmetic results with a low complication rate in this high-demand patient population. Subjectively, maximum strength was regained after a median of 7 months; however, selective triceps strength during bench and triceps press resulted in significantly reduced weight loads postoperatively.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03635465251389010","type":"journal-article","created":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T08:00:51Z","timestamp":1767254451000},"page":"174-179","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Clinical and Cosmetic Results After Double-Row Reconstruction of the Distal Triceps Tendon in an Athletic Population: A Retrospective Case Series of 70 Patients With a Mean Follow-up of 6 Years"],"prefix":"10.1177","volume":"54","author":[{"given":"Lorenz","family":"Fritsch","sequence":"first","affiliation":[{"name":"Department of Sports Orthopaedics, Technical University of Munich, Munich, Germany"},{"name":"The Steadman Philippon Research Institute, Vail, Colorado, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucca","family":"Lacheta","sequence":"additional","affiliation":[{"name":"The Steadman Philippon Research Institute, Vail, Colorado, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolas","family":"K\u00fchne","sequence":"additional","affiliation":[{"name":"The Steadman Philippon Research Institute, Vail, Colorado, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sebastian","family":"Lappen","sequence":"additional","affiliation":[{"name":"The Steadman Philippon Research Institute, Vail, Colorado, USA"},{"name":"Department for Shoulder and Elbow Surgery, Schulthess Clinic, Z\u00fcrich, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maximilian","family":"Hinz","sequence":"additional","affiliation":[{"name":"The Steadman Philippon Research Institute, Vail, Colorado, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sebastian","family":"Siebenlist","sequence":"additional","affiliation":[{"name":"The Steadman Philippon Research Institute, Vail, Colorado, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mathias","family":"Ritsch","sequence":"additional","affiliation":[{"name":"Sportortho-ro, Sch\u00f6n-Klinik Vogtareuth, Rosenheim, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,1,1]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2020.07.036"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2021.11.021"},{"issue":"7","key":"e_1_3_2_4_2","article-title":"The elbow\u2019s Achilles heel: a systematic review and meta-analysis of triceps tendon rupture and repair techniques","volume":"15","author":"Alkhalfan YH","year":"2023","unstructured":"Alkhalfan YH, Jha G, Verma B, et al. 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