Biceps Tenodesis

Indications:

  • 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:

  • Pre-operative rehabilitation is advisable

Post Operation:

Day 1-3 Weeks

  • Mastersling.
  • 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 and forced passive extension

3-6 Weeks

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

6 Weeks +

  • Eccentric biceps exercises with scapula control if required

12 Weeks +

  • Biceps strengthening exercises.

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: 3 months

Driving

  • 6-8 weeks

Swimming

  • Breaststroke: 6 weeks
  • Freestyle: 12 weeks

Golf

  • 3 Months

Lifting

  • Avoid lifting heavy items for 3 months.

Contact/High Impact Sports (e.g. Rugby League, AFL, martial arts, racket sports and Surfing)

  • 3 months

 

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