Lateral Epicondyle Debridement and Extensor Repair

Lateral Epicondyle Debridement and Extensor Repair

Phase I: Early ROM & Protect Repair (0 to 2 weeks)

• Operative Splint to be removed on Post-op day 2.
• Universal wrist splint to be placed once operative splint removed and worn at all times other than when performing exercises
• No strengthening or repetitive exercises
• Shoulder/Elbow/Wrist/Hand active and passive ROM. Initial focus should be on regaining terminal elbow extension.
• Use elevation and ice to treat elbow/forearm/hand swelling

Phase II: Full ROM (2-6 weeks)

• Continue to wear wrist splint for ADLs
• No strengthening or repetitive exercises
• Gradually increase A/PROM exercises. Goal to have full ROM by 4-6 weeks post-op. Begin Shoulder isometrics (scapula, abduction, ER, avoid IR resistance)

Phase III: Strengthening a return to activities (>6 weeks)

• May discontinue wrist splint and wear counterforce brace until asymptomatic with full ROM and normal strength
• Avoid pain. If exercises are causing pain, drop back to early phase until pain free
• Continue with ROM and add strengthening exercises starting with isometrics. Advance to resistance exercises and eccentric strengthening as tolerated. Use modalities as needed.
• Return to full activities is typically 12 weeks after surgery