BACKGROUND: Different rehabilitation protocols have been used after repair of distal biceps ruptures. PURPOSE: This study investigates the safety of immediate active range of motion protocol after modified 2-incision distal biceps tendon repair in acute ruptures. STUDY DESIGN: Case series; Level of evidence, 4. MATERIALS AND METHODS: Twenty-one patients with a minimum follow-up of 2 years were participants in this study. After repair, the upper extremities were placed in a sling for 1 to 2 days and then immediate active range of motion was started. For the first 6 weeks, the elbow was allowed activities of daily living as tolerated by the patient with a 1-lb weight-lifting restriction. Elbow range of motion, isometric and dynamic flexion, and supination strengths were recorded and Disabilities of the Arm, Shoulder and Hand (DASH) scores were obtained. RESULTS: Mean follow-up extension was 0 degrees and mean follow-up flexion was 141 degrees on the operated side, with supination of 74 degrees and pronation of 75 degrees. The mean DASH score for 21 patients was 3.6 +/- 3.6 (range, 0-11.4). The mean follow-up isometric flexion strength was found to be 5% (P = .411), and the power (dynamic strength) of flexion was 12% greater on the operated side (P = .046). However, follow-up isometric supination strength was 9% less on the involved side than on the noninvolved side (P = .030), and the power of supination was 11% less on the operated side (P = .007). There were no tendon reruptures at follow-up, determined by physical examination. CONCLUSION: A modified 2-incision distal biceps repair allows a safe immediate active range of motion protocol with early return of nearly full range of motion and strength, without any clinically significant disability.
BACKGROUND: Different rehabilitation protocols have been used after repair of distal biceps ruptures. PURPOSE: This study investigates the safety of immediate active range of motion protocol after modified 2-incision distal biceps tendon repair in acute ruptures. STUDY DESIGN: Case series; Level of evidence, 4. MATERIALS AND METHODS: Twenty-one patients with a minimum follow-up of 2 years were participants in this study. After repair, the upper extremities were placed in a sling for 1 to 2 days and then immediate active range of motion was started. For the first 6 weeks, the elbow was allowed activities of daily living as tolerated by the patient with a 1-lb weight-lifting restriction. Elbow range of motion, isometric and dynamic flexion, and supination strengths were recorded and Disabilities of the Arm, Shoulder and Hand (DASH) scores were obtained. RESULTS: Mean follow-up extension was 0 degrees and mean follow-up flexion was 141 degrees on the operated side, with supination of 74 degrees and pronation of 75 degrees. The mean DASH score for 21 patients was 3.6 +/- 3.6 (range, 0-11.4). The mean follow-up isometric flexion strength was found to be 5% (P = .411), and the power (dynamic strength) of flexion was 12% greater on the operated side (P = .046). However, follow-up isometric supination strength was 9% less on the involved side than on the noninvolved side (P = .030), and the power of supination was 11% less on the operated side (P = .007). There were no tendon reruptures at follow-up, determined by physical examination. CONCLUSION: A modified 2-incision distal biceps repair allows a safe immediate active range of motion protocol with early return of nearly full range of motion and strength, without any clinically significant disability.
Authors: David M Rose; Jason D Archibald; Edward G Sutter; Stephen M Belkoff; John H Wilckens Journal: Knee Surg Sports Traumatol Arthrosc Date: 2010-12-15 Impact factor: 4.342
Authors: Bernardo Barcellos Terra; Leandro Marano Rodrigues; André Luiz Machado Lima; Bruna Cangini Cabral; José Maria Cavatte; Anderson De Nadai Journal: Rev Bras Ortop Date: 2016-04-26
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Authors: Ruby Grewal; George S Athwal; Joy C MacDermid; Kenneth J Faber; Darren S Drosdowech; Graham J W King Journal: JBJS Essent Surg Tech Date: 2012-11-28
Authors: Nathan E Marshall; Robert A Keller; Kelechi Okoroha; John Michael Guest; Charles Yu; Stephanie Muh; Vasilios Moutzouros Journal: Orthop J Sports Med Date: 2016-11-28