For a torn bicep tendon, which modification is recommended?

For a torn bicep tendon, which modification is recommended?

• A. Use standard wide-grip pull-ups
• B. Change pull up grip to chin up and avoid ring dips
• C. Discontinue all training for six weeks
• D. Add extra weight to pull-ups

Answer: (B)

When a biceps tendon is torn, the goal is to protect the tendon by reducing the most provocative stresses while still keeping training stimulus. Switching to a chin-up uses an underhand grip, which changes the load path on the elbow and shoulder in a way that tends to place less direct strain on the torn tendon during pulling movements, compared with a wide-grip pull-up. At the same time, avoiding ring dips eliminates a movement that often places the elbow in a deep flexion and the shoulder in positions that can aggravate the tendon. The other options would either continue to load the tendon heavily (standard wide-grip pull-ups or adding extra weight) or require prolonged rest, which isn’t necessary with a careful, modified approach.

When a biceps tendon is torn, the goal is to protect the tendon by reducing the most provocative stresses while still keeping training stimulus. Switching to a chin-up uses an underhand grip, which changes the load path on the elbow and shoulder in a way that tends to place less direct strain on the torn tendon during pulling movements, compared with a wide-grip pull-up. At the same time, avoiding ring dips eliminates a movement that often places the elbow in a deep flexion and the shoulder in positions that can aggravate the tendon. The other options would either continue to load the tendon heavily (standard wide-grip pull-ups or adding extra weight) or require prolonged rest, which isn’t necessary with a careful, modified approach.