Distal Biceps Repair

Saint Louis University (SLUCare)

Weight-Bearing

N/A

Key Restrictions

Posterior splint at 90 deg wk 1; elbow ROM brace wks 2-6 (progressing 45-100 to 15-130 deg); no active elbow flexion or supination until wk 6; biceps isotonics not until wk 16

Timeline & Phases

Phase I (wk 1): posterior splint; Phase II (wks 2-6): ROM brace, shoulder/wrist/gripping exercises; Phase III (wks 6-10): discontinue brace wk 8, shoulder/wrist isotonics; Phase IV (wks 10-16): UBE; Phase V (wks 16-26): light biceps isotonics, plyometrics (two-handed wk 16, one-handed wk 20-22); Phase VI (wks 26+): sport-specific training and return to activity

Notes

SLU Sports Medicine and Shoulder Service; 6-phase protocol