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Is therapy necessary after distal biceps tendon repair? | LitMetric

Is therapy necessary after distal biceps tendon repair?

Hand (N Y)

Shoulder and Elbow Center, Knoxville Orthopaedic Clinic, 260 Fort Sanders West Boulevard, Knoxville, TN 37922, USA.

Published: December 2008

AI Article Synopsis

  • * A study involving 15 male patients compared supervised rehabilitation (6 patients) with unrestricted ROM after two weeks (9 patients).
  • * The group with unrestricted ROM achieved full ROM significantly faster (average 4.38 weeks) than the supervised therapy group (8.67 weeks), with no reruptures and no notable differences in final ROM or DASH scores.

Article Abstract

The EndoButton technique of distal biceps tendon repair provides strong biomechanical fixation. This strength of fixation may allow earlier postoperative range of motion (ROM). A retrospective review of 15 male patients undergoing single incision EndoButton repairs was used. Six subjects participated in conventional supervised postoperative rehabilitation while nine subjects were allowed unrestricted ROM after 2 weeks. Final ROM, time to full ROM, and Disabilities of Arm Shoulder and Hand (DASH) scores were compared. There was a significant difference for time to full ROM (p < 0.05). The mean time to full ROM was 8.67 weeks for the supervised therapy group and 4.38 weeks for the unrestricted group. There were no reruptures in either group. There were no significant differences in final ROM or DASH scores. These data suggest that unrestricted ROM results in a quicker return to full ROM without an increased risk of rerupture.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2584219PMC
http://dx.doi.org/10.1007/s11552-008-9129-8DOI Listing

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