Biceps Tenodesis

Biceps Tenodesis

 

  • For damaged and partially torn long head of biceps tendon. The tendon is transposed from it's origin on the glenoid to the humerus, with screws or anchors.
  • Note: If a biceps tenodesis is performed as part of a rotator cuff repair, follow the Rotator Cuff Repair Protocol

 Protocol

 

Post op

Day 1

Level 1-2 Exercises

  • Mastersling for comfort only. Discard as comfort allows.
  • Teach postural awareness and scapular setting
  • Regain scapula & glenohumeral stability working for shoulder joint control rather than range
  • Core stabiliity exercises (as appropriate)
  • Finger, wrist and radio ulnar movements
  • Active elbow flexion & extension in standing as tolerated. 
  • Active shoulder movement as tolerated
  • Avoid resisted elbow flexion

3 Weeks

Level 2-3 Exercises

  • Assess kinetic chain control and provide exercises as required 
  • Strengthen rotator cuff muscles
  • Start elbow flexion with light resistance, as tolerated

6 Weeks

Level 3-4 Exercises

Eccentric biceps exercises with scapula control if required

 

 

Milestones

 

Week 6

Full Active range of shoulder & elbow motion

Week 12

Full active range of elbow and shoulder movement with dynamic scapula stability throughout range (Concentric and eccentric)

Return to functional activities

Return to work            Sedentary job: as tolerated

                                    Manual job:      6-12 weeks*

Driving                        3-6 weeks

Swimming                   Breaststroke:   3 weeks

                                    Freestyle:        6 weeks

Golf                             6 weeks

Lifting                         Light lifting can begin at 3 weeks.  Avoid lifting heavy items for 3 months.

Contact Sport             E.g. Horse riding, rugby, football, martial arts, racquet sports and rock climbing: 6-12 weeks*


*  Depends on Consultant opinion

 

 

 

PATIENT INFORMATION
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