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Updated: Nov 1, 2025

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Is Immobilization Necessary for Early Return to Work Following Distal Biceps Repair Using a Cortical Button

Joseph W Bergman^1,2, Anelise Silveira³, Robert Chan^1,2

¹Department of Surgery, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.

The Journal of Bone and Joint Surgery. American Volume

|June 24, 2021

Summary

Early mobilization after distal biceps tendon repair is safe and well-tolerated, showing no adverse outcomes. While it did not accelerate return to work, it improved functional scores and range of motion.

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Published on: May 20, 2019

Area of Science:

Orthopedic Surgery
Sports Medicine
Rehabilitation

Background:

Distal biceps tendon ruptures often require surgical repair.
Current surgical fixation improvements haven't consistently led to earlier postoperative mobilization.
The impact of early mobilization on functional return to work post-repair is not well-established.

Purpose of the Study:

To compare early mobilization versus 6 weeks of immobilization after distal biceps tendon repair.
To evaluate the effect of early mobilization on return to work and functional outcomes.

Main Methods:

A parallel-arm randomized controlled trial involving 101 male participants.
Randomization to either early mobilization or 6 weeks of immobilization.
Assessment of return to work, pain, range of motion, strength, and QuickDASH scores at multiple follow-up intervals.

Main Results:

No significant difference in return to work between early mobilization and immobilization groups.
Early mobilization group showed significantly improved passive forearm supination and better QuickDASH scores over time.
No significant differences in pain, active range of motion, or strength were observed between groups.

Conclusions:

Early motion following distal biceps tendon repair with cortical button fixation is safe and well-tolerated.
No adverse outcomes were associated with early mobilization.
No clinically significant differences were found between the groups regarding key functional outcomes.