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.
• 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
  • Grip ROM and strengthening exercises

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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