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This protocol is intended to guide clinicians through the post-operative course for biceps tenodesis. This protocol is time based (dependent on tissue healing) as well as criterion based.
Phase 1: 0-2 weeks post-operatively. Goals. Protect repair. Minimize pain. Minimize swelling. Begin passive range of motion exercises, NO active extremity ROM. Sling use/ precautions. Sling for 3-4 weeks after surgery to be determined by surgeon.
BICEPS TENODESIS CLINICAL PRACTICE GUIDELINE. Background. Indications for tenodesis include partial tears >25%, tendon subluxation, recalcitrant tendinopathy, chronic tendon atrophy, and impingement, SLAP, or rotator cuff treatment.
This protocol was developed for patients who have had a bicep tenodesis. Please note this protocol is a guideline. Patients with additional surgery will progress at different rates. Achieving the criteria of each phase should be emphasized more than the approximate duration.
biceps tenodesis/transplantation protocol This protocol provides appropriate guidelines for the rehabilitation of patients following arthroscopic biceps tenodesis/transplantation surgery.
Months 3-12: Begin UE ergometer. At 12 weeks: begin eccentrically resisted motions, 90/90 strengthening; plyometrics (ex- weighted ball toss), proprioception (ex- body blade), and closed chain exercises. Begin sports related rehab at 3 months, including advanced conditioning.
A biceps tenodesis procedure involves cutting of the long head of the biceps just prior to its insertion on the superior labrum and then anchoring the tendon along its anatomical course more distally along the humerus.
