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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.
Post-Operative Rehabilitation Protocol for Biceps Tenodesis. These guidelines are designed to assist clinicians in managing the recovery process following biceps tenode-sis surgery. The protocol is based on both time (dependent on tissue healing) and specific criteria.
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. The protocol draws evidence from the current literature and accounts for preferences of the surgeons at Summit Orthopedics.
Shoulder: PROM. Stop at first resistance for external rotation for first 2 weeks. No extension past body for first 2 weeks. Scapular AROM retraction/protraction, elevation/depression with sling. Pendulums with wrist in neutral position. Elbow: PROM until 14 days post-surgery. AAROM flexion/extension with wrist in neutral position starting week 3.
