Biceps Tendon Disruption (Distal)

with Rehab

ExitCare ImageThe biceps tendon attaches the biceps muscle to the bones of the elbow and the shoulder. A distal biceps tendon disruption is a tear of this tendon at the end the attached near the elbow. A distal biceps tendon rupture is an uncommon injury. These injuries usually involve a complete tear of the tendon from the bone; however, partial tears are also possible. The bicep muscle works with other muscles to bend the elbow and rotate the palm upward (supinate). A complete biceps rupture will result in approximately a 30% decrease in elbow bending strength and a 40% decrease in one's ability to supinate the wrist.

SYMPTOMS

CAUSES

A biceps tendon rupture occurs when the tendon is subjected to a force that is greater than it can withstand, such as straightening the elbow while the biceps is contracted or direct trauma (rare).

RISK INCREASES WITH:

PREVENTION

PROGNOSIS

Surgery is usually required to fix distal biceps tendon rupture. After surgery, a recovery period of 4 to 8 months can be expected to allow for healing and a return to sports.

RELATED COMPLICATIONS

TREATMENT

Treatment initially consists of ice and medication to help reduce pain and inflammation. A sling may also be worn to increase one's comfort. Surgery is required for a full recovery and return to sports. Surgery involves reattaching the tendon to the bone. Weakness can be expected if surgery is not performed; however, this may be acceptable for sedentary individuals. Surgery is usually followed by immobilization and rehabilitation exercises to regain strength and a full range of motion.

MEDICATION

HEAT AND COLD

SEEK MEDICAL CARE IF:

EXERCISES

RANGE OF MOTION (ROM) AND STRETCHING EXERCISES - Biceps Tendon Disruption (Distal)

Once your physician, physical therapist or athletic trainer has permitted you to discontinue using your brace or splint, you may begin to restore your elbow motion by using these exercises. Beginning these exercises before your provider's approval may result in delayed healing. While completing these exercises, remember:

ExitCare Image RANGE OF MOTION – Extension

Repeat __________ times. Complete this exercise __________ times per day.

ExitCare Image RANGE OF MOTION – Flexion

Repeat __________ times. Complete this exercise __________ times per day.

ExitCare Image RANGE OF MOTION – Supination, Active

Repeat __________ times. Complete this stretch __________ times per day.

ExitCare Image RANGE OF MOTION – Pronation, Active

Repeat __________ times. Complete this stretch __________ times per day.

STRENGTHENING EXERCISES - Biceps Tendon Disruption (Distal)

Once your physician, physical therapist, or athletic trainer has permitted you to discontinue using your brace or splint, you may begin restoring your arm strength by using these exercises. Beginning these before your provider's approval may result in delayed healing. While completing these exercises, remember:

ExitCare Image STRENGTH - Elbow Flexors, Isometric

Repeat __________ times. Complete this exercise __________ times per day.

ExitCare Image STRENGTH - Elbow Extensors, Isometric

Repeat __________ times. Complete this exercise __________ times per day.

ExitCare Image STRENGTH – Elbow Flexors, Supinated

Repeat __________ times. Complete this exercise __________ times per day.

ExitCare Image STRENGTH – Elbow Flexors, Neutral

Repeat __________ times. Complete this exercise __________ times per day.

ExitCare Image STRENGTH – Elbow Extensors

Repeat __________ times. Complete this exercise __________ times per day.

*You may also stand with your elbow overhead and pointed toward the ceiling and supported by your opposite hand.

ExitCare Image STRENGTH - Elbow Extensors, Dynamic

Repeat __________ times. Complete this exercise __________ times per day.

ExitCare Image STRENGTH – Forearm Supinators

Repeat __________ times. Complete this exercise __________ times per day.

ExitCare Image STRENGTH – Forearm Pronators

Repeat __________ times. Complete this exercise __________ times per day.