Discussion
partially ruptured tendons
The most important finding of the present study is that although partial ruptures of distal triceps tendons tend to withstand a lower ultimate load to failure in comparison to intact tendons, this difference was not statistically significant. The second finding is that distal triceps tendon ruptures begin most often in the superficial and lateral tendon fibers.Petre et al. [Interestingly, there was greater dispersion of failure loads in the intact tendon group than in the partially ruptured tendon group. This could be due to the limited size of the groups and the fact that no matched pairs were available for this study. Although the groups were comparable in age and sex, other characteristics such as bone and tendon quality may have varied. It is also possible that the failure loads correlate with the tendon diameter. Since the overall diameter of the intact tendons is larger and therefore probably more dispersed than that of the partially ruptured tendons, it is possible that this effect carries over to the failure loads. However, the correlation between tendon diameter and failure load needs to be further investigated.In the current literature, surgical management is recommended for partial tears affecting more than 50% of the tendon [Based on radiological observations, Lee et al. [This study demonstrates that the lateral tendon structures tend to tear before the medial ones. This is somewhat in contrast to reports of medial partial tendon ruptures with simultaneous involvement of the medial ligament complex [Several limitations of this study must be acknowledged. This includes the inherent limitations of in vitro studies. The tests were performed on cadaveric specimens and at time point zero, which fail to simulate in vivo conditions, including biological healing and tissue regeneration. This study is also limited by its small sample size, which, however, is similar to that of other biomechanical studies on distal triceps tendon ruptures [