This procedure involves re-positioning the attachment of the long head of biceps from inside the shoulder joint to outside the shoulder joint.
Post op
Day 1-3 Weeks
- Sling – patient to remove 4 times daily for exercises
- Finger, wrist and radio ulna movements in sling
- Active elbow flexion & extension as tolerated
- Active shoulder movement as tolerated
- Avoid resisted elbow flexion and forced passive extension
- Teach postural awareness and scapular setting
- Regain scapula control & normal shoulder control
3-6 Weeks
- Wean off sling
- Progress active shoulder and elbow ROM
- Strengthen rotator cuff muscles
- Assess kinetic chain control and provide exercises as required
6 Weeks +
- Eccentric biceps 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) |