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Conditions

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Distal Biceps Tendinopathy

Category:

Diagnosis:

Description:

Predictors:

Humerus-Elbow

Distal Biceps Tendinopathy/Tear

Anterior elbow pain or sudden pop with weakness in supination; tendinopathy vs acute tear.

Tender distal biceps; pain with resisted supination; hook test abnormal in tears.

Non-Operative

Therapy:

Light Activities:

Moderate Activities:

Relative rest; eccentric loading; activity modification; brace; evaluate for tear if acute.

6–12 weeks (tendinopathy)

3–6 months for heavier use

Surgery

Surgery Probability:

Moderate if complete tear in active patients

Indications:

Recovery to Light Activities:

Recovery to Moderate Activities:

Sucess Rates:

Complication Rates:

Confirmed complete tear in active/younger patients; persistent disability.

Light ADLs in 2–4 weeks (post‑op)

3–6 months to moderate activity

Varies by repair

3–6 months for heavier use

Predictors:

Varies by repair

Nerve irritation/heterotopic ossification rare

Helpful Devices

Counterforce Strap

Reusable Cold Pack

Pron/Supination Bar

Topical Analgesic Gel

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