The triceps-dividing approach to open reduction of complex distal humeral

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fractures in adolescents: a Cybex evaluation of triceps function and motion. Kasser JR. Richards K. Millis M. Journal of Pediatric Orthopedics. [JC:hsw] 10(1):93-6, 1990 Jan-Feb. Triceps function and elbow motion were evaluated in nine elbows after open reduction of complex distal humeral fractures through a triceps dividing approach. At 3-year 6-month follow-up, the patients had an average flexion/extension of 136 degrees to -6 degrees. Triceps peak torque decreased slightly, measured by Cybex testing with a 6% deficit at 60 degrees/s, 3% deficit at 120 degrees/s, and 3% deficit at 180 degrees/s. We recommend triceps division rather than olecranon osteotomy in children who require open reduction of complex distal humeral fractures.