Adam Seidl, MD - Board Certified Orthopaedic Surgeon - Shoulder and Elbow Specialist

Adam Seidl, MDBoard Certified Orthopaedic SurgeonShoulder and Elbow Specialist

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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Location Map

  • Orthopedics - University of Colorado Hospital

    1635 Aurora Ct,4th Floor
    Aurora, CO 80045

  • Highlands Ranch Hospital

    1500 Park Central Dr #401,
    Highlands Ranch,CO 80129

  • UCHealth Steadman Hawkins Clinic Denver

    175 Inverness Drive West, Suite 200,
    Englewood, CO 80112

Credibility Logos

  • The American Board of Orthopaedic Surgery logo
  • American Academy of Orthopedic Surgeons logo
  • American Shoulder And Elbow Surgeons logo
  • Western Orthopaedic Association logo
  • Alpha Omega Alpha
  • Moon Shoulder