Read Distal Biceps Rupture Protocol text version

Farhad O. Moola MD, Inc.

Orthopedic Surgery University of British Columbia

Trauma · Hand Surgery · Shoulder & Elbow Reconstruction

_______________________________________________________ Distal Biceps Tendon Rupture: Postoperative Protocol

Initial Evaluation (Two Weeks Post-Op) GOALS: 1. Abbreviated Evaluation · Assess for edema. · Assess incision site. 2. Fit elbow hinge splint blocking at 75° extension to prevent active extension. 3. Instruct patient in home exercise program of passive elbow flexion/extension within splint as well as passive supination/pronation with elbow flexed to at least 90°. 4. Educate patient regarding precautions. If patient presents with the following Self-Management Criteria, place on a home exercise program. · No limitation of range of motion of elbow and forearm within splint boundaries; · Minimal to no pain at rest; · Apparent adherence to precautions; If patient does not meet above criteria, then a course of formal rehabilitation will be initiated 2-3 times per week until above criteria has been met. Patient to increase extension of splint weekly. Elbow extended by 15° weekly and continues to be extended progressively until full extension is achieved by 8 weeks post-operatively.

Treatment Guidelines Week 8 · Splint is discontinued. · Active flexion is begun within splint. · Continue with previous exercises. Week 10 · Full active range of motion exercises. Week 12 · Upper extremity strengthening is begun as appropriate. Week 16 · Full use is allowed.

______________________________________________________________________ New West Orthopedic and Sports Medicine Center

#102-65 Richmond Street, New Westminster, BC V3L 5P5 Tel: 604.526.4646 Fax: 866.883.1615

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Distal Biceps Rupture Protocol

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