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BICEPSTENODESIS PROTOCOLMR DEVINDER GAREWALMBBS (Melb), BMedSci, FRACS (Ortho), FAOrthA

ORTHOPAEDIC SHOULDER SURGEON

MR DEVINDER GAREWALMBBS (Melb), BMedSci, FRACS (Ortho), FAOrthA

ORTHOPAEDIC SHOULDER SURGEON

GOALS:

Reduce pain

Full shoulder range of movement

Full passive elbow range of movement

REHABILITATION:

Wean sling at 2 weeks

Passive elbow range of movement exercises without

resistance

Avoid resisted elbow flexion and forced passive

extension

Active shoulder range of movement exercises

Postural correction

Scapular setting exercises

CRITERIA FOR PROGRESSION:

Control of pain

Adequate passive elbow range without discomfort

GOALS:

Full active elbow range of movement

REHABILITATION:

Begin active elbow range of movement

Passive stretching at end ranges to maintain/increase elbow flexibility

Resistive biceps strengthening f rom 6 weeks

Check scapular control through full shoulder range

Commence and progress isometric rotator cuff and deltoid strengthening regime with shoulder in neutral

Hydrotherapy permitted

CRITERIA FOR PROGRESSION:

Adequate active elbow range of movement

If biceps tenodesis is performed as part of a rotator cuff repair, follow the rotator cuff repair rehabilitation protocol instead.

BICEPS TENODESIS

GOALS:

Full shoulder & elbow function

Resistive elbow flexion strength

REHABILITATION:

Elbow strengthening progressed as tolerated f rom isometric to weights and eccentric exercises

Progress cuff/deltoid strengthening

Dynamic scapular stability

LIFTING Light lifting from 6 weeks. Avoid heavy until 6 months.

SWIMMING Breaststroke 4 weeks. Freestyle 6 weeks.

GOLF 8 weeks.

GUIDELINES FOR RETURN TO FUNCTIONAL ACTIVITIES

SLING DURATION WHEN DO I START PHYSIO? WHEN CAN I START DRIVING?

2 weeks.You will begin physiotherapy

two weeks after your operation.

In approx 2-4 weeks, when you're no longer using the sling and have full control

of the vehicle.