Distal Triceps Tendon Ruptures: A Case Series Highlighting Diagnostic Challenges, Surgical Management, and Functional Outcomes.

Triceps tendon ruptures are uncommon but significant injuries, often presenting diagnostic challenges due to nonspecific clinical features. Delayed or missed diagnoses can result in prolonged functional impairment. We present a retrospective case series of five patients who sustained distal triceps tendon ruptures through various mechanisms, including direct trauma and heavy lifting. Clinical presentations ranged from elbow swelling and pain to palpable tendon gaps, with radiographic "flake signs" consistently observed. Ultrasonography effectively identified tendon ruptures and retraction in four cases, reinforcing its diagnostic value. All patients underwent surgical repair using suture anchor techniques, achieving satisfactory outcomes. This case series emphasises the importance of early recognition, timely imaging, and prompt surgical intervention in managing distal triceps tendon ruptures to optimise patient recovery.