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Causes of a Distal Triceps Tear The most common causes of a distal triceps tear include: Fall causing sudden forceful bending of the elbow Heavy lifting Sports injuries The risk for a distal triceps tear is greater in the presence of the following: Pre-existing conditions such as tendonitis Drug treatment such as use of steroids Autoimmune diseases Symptoms of a Distal Triceps Tear Symptoms of a distal triceps tendon rupture may include: A popping-out sensation felt at the back of the elbow