Distal Biceps Repair

PHASE I: Early ROM (0 to 6 weeks)

• Splint remains in place for the first 10-14 days.
• Sutures will be removed by physician in 10-14 days.
• At 10-14 days transition to hinged elbow brace.
• Initiate ROM exercises 3- 5 times per day in hinged elbow brace:
• Weeks 2/3:
• PROM into flexion and supination IN BRACE
• AAROM into extension and pronation IN BRACE
• Week 2: brace locked from 60 to full flexion
• Week 3: brace locked from 40 to full flexion
• Weeks 4-6:
• Add AAROM into flexion (not supination) IN BRACE
• Week 4: brace unlocked from 30 to full flexion
• Week 5: brace locked from 20 to full flexion
• Week 6: brace unlocked full motion
  Grip ROM and strengthening exercises
  Pro/supination always performed at 90 degrees of flexion

PHASE II: Restore Function (6-12 weeks)

• Progress active and passive ROM as tolerated.
• Initiate gentle elbow and forearm strengthening.
• No Lifting/carrying > than 5 lbs, no repetitive use

PHASE III: Return to work (>12 weeks)

• Increase strength and endurance (work specific) training

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