distal biceps tendonitis rehab protocolblack and white emoji aesthetic

Add Eccentrics: Eccentric exercise actually lengthens your muscles and decreases the risk of tendinitis. In 1982, Neviaser et al. Even kids try to show off their biceps when they want to prove how strong they are! Since it is a new treatment, little research has been done regarding dry needling. A distal biceps rupture occurs when the tendon attaching the biceps muscle to the elbow is torn from the bone. May continue bicep curls progressively add resistance. 3 0 obj The muscles and tendons of the rotator cuff hold the ball into the socket of the shoulder. Stand in front of a wall with a 6-inch distance and raise your injured arm palm down below your shoulder's height. Distal Biceps Tendon Repair Protocol - Hamilton Ortho Surgery to reattach the tendon is usually necessary and its best to do so within two weeks. Biceps tendinitis occurs when there's inflammation of the biceps tendon. Apply ice to the injury for 10-20 minutes, 3 times a day, for the first 3 days. The biceps and triceps muscles are the major flexors (biceps) and extensors (triceps) of the arm at the elbow joint. Surgical Total Shoulder Replacement. PDF Biceps Tendon Strengthening Exercises - Jaspal Ricky Singh, M.D Secondary cases are much more common and have been described in the literature with increasing frequency dating back to at least the early 1980s. It is attached to the bones of the shoulder and elbow by tendons strong cords of fibrous tissue that attach muscles to bones. The biceps bends your elbow (flexion) and twists your forearm to turn your palm upward (supination). Ultrasound has been in use in PT clinics for many years. Interested in joining our wonderful team at Hamilton Orthopedics? It commonly occurs in the dominant extremity of middle-aged men during an excessive eccentric tension as the arm is forced from a flexed . So be sure to check with your coach or trainer if you develop tendinitis of any kind. A word of caution: K-tape is a newer treatment in PT and has not been proven to be effective in the treatment of tendon disorders. https://www.youtube.com/watch?v=j4vYM7JXSW8, Diagnosis and treatment of biceps tendinitis and tendinosis, The shoulder in baseball pitching: biomechanics and related injuries--Part 1, The long head of biceps and associated tendinopathy. Shoulder ROM exercises are encouraged. If you believe that this Physiopedia article is the primary source for the information you are refering to, you can use the button below to access a related citation statement. And all those hammer curls and pull-ups can take a toll on the tendons of your arms. These injuries often require surgical treatment. Rest will calm the inflammation and help relieve the pain. Primary bicipital tendinitis is much less common than cases where it is associated with concomitant primary shoulder pathologies (i.e., secondary cases). But tendons arent so lucky. Kevern MA. Care should be used, since ice placed directly on your skin may cause a frost burn. REHABILITATION FOLLOWING DISTAL BICEPS REPAIR Authors Catherine A Logan 1 , Amir Shahien 2 , Daniel Haber 3 , Zach Foster , Anna Farrington , Matthew T Provencher Affiliations 1 OrthoONE, Denver, CO, USA. Putty may be used 3 times per day to improve grip strength. The patient will primarily experience pain localised in the bicipital groove and may radiate toward the insertion of the deltoid muscle, or down to the hand in radial distribution. Biceps tenodesis has traditionally been performed through the deltopectoral interval to visualize the retracted tendon distally in the groove. [7] In low-functioning or medically complicated patients, conservative measures should always be pursued initially.[10]. Tendons connect muscles to bone, and they have less blood flow and a slower rate of healing. partial distal biceps avulsion. Your PT will also ask about your medical history and may review any medication that you are taking. u:d`+.nba^*E31IQRCN8x+j6TVEkDZ <> PDF Distal Biceps Repair Protocol - Boston Sports Medicine Telemedicine: Information and visit preparation. PDF Distal Biceps Tendon Reconstruction Rehab Protocol Treatment of individuals with chronic bicipital tendinopathy using dry needling, eccentric-concentric exercise and stretching; a case series. Physical Therapy as a Conservative Treatment for a Proximal Biceps - US K(-fr Brett Sears, PT, MDT, is a physical therapist with over 20 years of experience in orthopedic and hospital-based therapy. Active extension limit changed to 20 degrees. <>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> tendon. 3 Massachusetts General Hospital, Boston, MA, USA. A biceps tendon rupture occurs when the biceps muscle is torn from the bone at the point of attachment (tendon) to the shoulder or elbow. Rehab Protocols | Physical Therapy Chicago, IL | Occupational Therapist Verywell Health's content is for informational and educational purposes only. Baechle. Sports Medicine Division Physical Therapy Protocols Brad E. Brautigan MD Rehabilitation Guidelines for Distal Biceps Tendon Repair The intent of this protocol is to provide the clinician with a general guideline of the post-operative course of the patient that has undergone the above stated procedure. PNF D2 flexion and extension with tubing. That includes shoulder strength too. Best Exercises for Biceps Tendonitis - WebMD Call for an appointment (03) 6231 2477. Late Stage 8-12 weeks+ Physiother Theory Pract. The brace itself will be used for passive range of motion.Biceps Curl Hold a light weight (about 5 to 8 pounds), a . 2018;:1-11. doi:10.1080/09593985.2018.1488023, Zeinali A, Rahimdel A, Shahidzadeh A, Shahidzadeh A, Mellat A. Ice may be used in the treatment of biceps tendonitis. Biceps/Triceps tendon injuries - Overview - Mayo Clinic Orthopedics P% m@DDLw)TypU" (Pu` w 8G Either through a bone tunnel, suture anchors, interosseous screw fixation, or suspensory cortical button. RICE therapy (rest, ice, compression, elevation) may reduce the severity of symptoms. Demographics. Tendinopathy Rehabilitation - Physiopedia - universal access to endobj Passive supination and pronation stretch. Clin Sports Med. Physical Therapist's Guide to Biceps Tendinitis Your practitioner may order diagnostic tests like magnetic resonance imaging (MRI) to view the soft tissue structures around your shoulder. Phase I: 1-3 weeks Clinical Goals Elbow ROM from 30 of extension to 120 of flexion (this may vary depending on patient's situation. Basically any action where you are pulling something toward you with your arms works the biceps. demonstrated the relationship between increasing LHB tendon inflammatory changes with increasing severity of rotator cuff (RC) tendinopathy. PDF Distal Biceps Repair - North Tees and Hartlepool NHS Foundation Trust A tendon is a fibrous bundle that attaches a muscle to a bone. Shoulder rotator cuff and scapular strengthening. Patients are usually seen at 1 week post op, then at 5-6 weeks post op. Hold 15 seconds. Distal Biceps Rupture - Physical Therapy in Baton Rouge When refering to evidence in academic writing, you should always try to reference the primary (original) source. If any exercise causes pain to increase, you should stop performing it and check in with your PT. The short head of the biceps arises from the coracoid process of your shoulder blade. Your thumb will keep your hand in place on the wall and gently turn away from the wall, stretching your biceps as you move. In effect, the tendon becomes pathologically anchored in the groove, further exacerbating the potential points of traction and overall increasing shear forces experienced by the LHB tendon along its course. endstream endobj 173 0 obj <. Potential factors predisposing to biceps-related shoulder injuries include glenohumeral internal rotation deficit (GIRD) in overhead-throwing athletes/baseball pitchers, poor trunk control, scapular dyskinesia, and internal impingement. But dont worry; Ill tell you what it is, how you probably got it, how to help get rid of it! Since Hamilton Orthopaedics, Spine and Sports Medicine was founded by Dr. Ivan Gowan in 1984, the practice has grown exponentially to serve the ever growing demand in Central New York. )Ed#. Most e-stim treatments, like transcutaneus electic neuromuscular stimilation (TENS) or neuromuscular electrical stimulation (NMES), last for about 10 to 20 minutes. It is not only athletes who benefit from the considerable skill and experience assembled here. Proximal bicep tendonitis: This is when there is inflammation. Distal biceps tendinopathy can also be known as distal biceps tendinosis or distal biceps tendinitis. Keep your arm straight and hold for 15 seconds. He supports weight training and high-intensity exercise throughout the lifespan. The most common surgery for bursitis is a bursectomy, which removes the inflamed bursa to help relieve pain and promote healing. Various exercises may be included in your biceps tendonitis rehab program, including: Shoulder ROM exercises. You can also try these exercises at home: Distal Biceps Tendonitis. Of the thousands of people treated every year, many are children, adults and senior citizens who have chosen Hamilton Orthopaedics, Spine and Sports Medicine as the best place to give them the most advanced orthopaedic care. A burning sensation may be felt if ultrasound is not applied properly. By Brett Sears, PT A biceps tenotomy may be performed to remove the ruptured biceps tendon from the glenohumeral joint, and tenodesis may be avoided without significant loss of arm function. Biceps Tendon Rupture - StatPearls - NCBI Bookshelf Biceps tendonitis describes a clinical condition of inflammatory tenosynovitis, most commonly affecting the tendinous portion of the LHB as it travels within the bicipital groove in the proximal humerus. And this is no exception. [10][11] Or for more persistent presentations, corticosteroid injections along the tendon sheath may be indicated. It's a sign of overuse and your body is telling you that it needs a rest. That way, you can be sure to start on the right treatment for your condition. The median duration of follow-up was thirty-eight months. Biceps tendonitis can be a nagging problem, and it may take a few months to fully clear. 1 0 obj Often, physical therapy may be prescribed. BayCare Clinic is a joint partner in Aurora BayCare Medical Center, a 167-bed, full-service hospital. ACL Reconstruction with Meniscus Repair or Microfracture, SLAP Repair, Bankart Repair, or Biceps Tenodesis, Total Shoulder or Reverse Arthroplasty Protocol, Non-Operative Achilles Tendon Rupture Protocol, ACI ProcedureACL Reconstruction Rehabilitation ProtocolAMZ ProcedureHip Arthroscopy Rehabilitation ProtocolMeniscus TransplantationMeniscal Repair ProtocolMicrofracture ProcedureMPFL Repair Reconstruction ProtocolOATS Procedure Patella Femoral ArthroplastyFemoral Acetabular, Distal Radius Fracture Post Surgical Volar Plating, ECRB or FDS to Lateral Band Tendon Transfer for Clawing, Flexor Tendon Zones 1-3 Early Mobilization, Flexor Tendon Zones 1-4 Delayed Mobilization, Pin Site Care Post-Operative Instructions, Scaphoid Fracture Post-Operative Management, Achilles Tendon RepairACL ReconstructionAnkle SprainAnkle Sprain SevereAnterior Interval Release - KneeArthroscopic Ankle DebridementArthroscopic Ankle with MFXBankart Repair or Anterior or Posterior Labral RepairBrostrom ProcedureBrostrom with MFX ProcedureDistal Biceps RepairElbow DebridementElbow Radial Collateral RepairProximal Hamstring Tendon RepairHigh Tibial OsteotomyLateral EpicondyleLateral Epicondyle Fascial ReleaseLateral Release - Knee Lateral Release with Meniscus RepairLCL ReconstructionMCL Repair ProtocolMedial EpicondyleMedial Patellofemoral Ligament Repair/ReconstructionMedial ReefingMeniscus RepairMicrofracture Femoral CondyleMicrofracture Trochlear Grove PatellaMUA - KneePatellar Tendon FenestrationPatellar Tendon RepairPCL ReconstructionQuadriceps Tendon RepairRotator Cuff Repair Rehabilitation ProtocolShoulder StabilizationTibial Plateau FractureTibial Tubercle TransferUCL Reconstruction, Achilles Tendon Ultrasound Guided Percutaneous Tenotomy, Gluteal Tendon Ultrasound Guided Percutaneous Tenotomy, Hamstring Tendons Ultrasound Guided Percutaneous Tenotomy, Patellar - Quadriceps Tendon Ultrasound Guided Percutaneous Tenotomy, Plantar Fascia Ultrasound Guided Percutaneous Fasciotomy, Ultrasound Guided Percutaneous Elbow Tenotomy, Ultrasound Guided Percutaneous Shoulder Tenotomy. Prone T, Y, and W. Shoulder extension with T-band. Final visits are usually at 12 weeks. Research has shown this to provide sufficient reductions in pain levels while maintaining normal biceps function. The continuum of clinical pathology ranges from acute inflammatory tendinitis to degenerative tendinopathy. (2015) Pain Medicine An Interdisciplinary Case-Based Approach. The treatment involves passing an ultrasound wand with a coupling gel over your injured tissue for five to 10 minutes. Methods: Eighteen patients with twenty unrepaired distal biceps tendon ruptures were assessed retrospectively. Supine scapula stabilization with 1kg weight. V;nK~ gCaQy? All of our locations are handicapped accessible. But biceps tendonitis is one of several possible causes of pain around the elbow. doi: 10.1016/j.csm.2009.12.003 . Passive flexion may be increases to full. Do something to help reduce tension in your biceps whether its foam rolling, muscle floss, or self-myofascial release. Beyond that point, the patient wears a sling for comfort and weans it after 3 weeks Clinical Goals <>/Metadata 508 0 R/ViewerPreferences 509 0 R>> If you have pain in the front of your shoulder, you may have biceps tendonitis. Distal Biceps Tendon Repair Rehab Protocol. Distal Biceps Tendon Reconstruction Rehab Protocol First 10-14 days Immobilization in Splint with Elbow at 90 of flexion Encourage digital , shoulder ROM Elevation Pain Control Phase I (2 weeks to 6 weeks) Elbow immobilized in flexion-assisted Bledsoe brace with extension stop at 30 One of the primary goals of rehabilitation after a distal bicep tendon tear is to regain range of motion of the elbow. Proximal biceps tendinopathy is the inflammation of the tendon around the long head of the biceps muscle.. Biceps tendinitus can impair patients' ability to perform many routine activities. Read more, Physiopedia 2023 | Physiopedia is a registered charity in the UK, no. Long head of the biceps pathology combined with rotator cuff tears. A distal biceps rupture occurs when the tendon attaching the biceps muscle to the elbow is torn from the bone. Since the biceps tendon works to stabilize the front of your shoulder, it may become overworked if you have shoulder instability or rotator cuff tear. This is indicated in higher functional level patients or athletes with extensive active pathology accompanied with other shoulder pathology such as rotator cuff tears. The physical therapist must consider both the patient's subjective response to injury and the physiological mechanisms of tissue healing; both are essential in relation to a patients return to optimal performance. PMID: 30997282 PMCID: PMC6449020 Distal Biceps Repair Rehab - Adam Watson Orthopaedic Surgeon Discontinue brace 8 weeks post-op (0-145). Distal biceps tendon fixation techniques: There are various options to fix the distal biceps tendon. These may include a rotator cuff tear, AC joint arthritis, shoulder labrum injury, or cervical (neck) radiculopathy. endobj Read our, Physical Therapy Evaluation for Biceps Tendonitis, Physical Therapy Treatment for Biceps Tendonitis, Therapeutic Ultrasound in Physical Therapy, Physical Therapy for a Pectoralis Major Tear, KT Tape for Rotator Cuff and Shoulder Injuries, At-Home Exercises and Physical Therapy for Calcific Tendonitis, Causes of Shoulder Pain and Treatment Options, First Steps to Help Treat a Frozen Shoulder, Exercises to Improve Stability After a Shoulder Labrum Tear, Causes of Elbow Pain and Treatment Options, transcutaneus electic neuromuscular stimilation (TENS), neuromuscular electrical stimulation (NMES), Treatment of individuals with chronic bicipital tendinopathy using dry needling, eccentric-concentric exercise and stretching; a case series, Comparison of the Effects of Kinesio Taping to Local Injection of Methyl Prednisolone in Treating Brachial Biceps Tendonitis, Tenderness to touch in the front of your upper arm and shoulder. The retractedbiceps tendon is retrieved through the incision. There are several muscles that help with both of these. Surgical Bankart & Anterior Labral Repair. Some physical therapists use a treatment technique called kinesiology taping, also known as K-tape. These exercises can help you maintain gains that you achieve in the clinic. Repetitive motions,. Gentle pulley while limiting elbow extension to -10 degrees. This focuses on a slowly letting the elbow relax from a curl, as seen below. Overloading of the biceps tendon at your shoulder or elbow may cause biceps tendonitis. During this session, your PT will interview you about your injury. Go to: Differential Diagnosis The diagnosis of the biceps tendon rupture sometimes is challenging. Physical Therapy Protocols - Brigham And Women's Faulkner Hospital Proximal biceps tendinitis and tendinopathy, https://www.ncbi.nlm.nih.gov/books/NBK533002/. Your doctor may prescribe a nonsteroidal anti-inflammatory medication (NSAID), like aspirin or ibuprofen, for pain relief and to reduce swelling. Improve Your Core Control: As Ive discussed in other articles, core strength and control are extremely important in preventing extremity injuries. As the pathophysiology escalates, there is an ensuing LHB sheath thickening, fibrosis, and vascular compromise. When the lining becomes inflamed, the tendon cannot glide smoothly in its covering (sheath). Specific recommendations may be made by Dr. Cole to modify . Biz C, Vinanti GB, Rossato A, Arnaldi E, Aldegheri R. Longo UG, Loppini M, Marineo G, Khan WS, Maffulli N, Denaro V. Nho SJ, Strauss EJ, Lenart BA, Provencher MT, Mazzocca AD, Verma NN, Romeo AA. Initiate resisted wrist supination and pronation. ACL Reconstruction Rehabilitation Protocol, Bankart Repair or Anterior or Posterior Labral Repair, Medial Patellofemoral Ligament Repair/Reconstruction, Rotator Cuff Repair Rehabilitation Protocol. Available from: Park SS, Loebenberg ML, Rokito AS, Zuckerman JD. Your email address will not be published. 43 Tenotomy is the . }ws}B}hr|*-*zK/b>$y`7_> It starts as two separate tendons that attach to the shoulder blade, just above the socket of your shoulder. PDF Rehabilitation Protocol for Distal Biceps Tendon Repair This can help decrease pain and improve localized circulation. Biceps pulley: normal anatomy and associated lesions at MR arthrography. 172 0 obj <> endobj National Strength and Conditioning Association. You may also do this next to a wall and rest your fingers on the wall. 4 0 obj 2 0 obj In addition, the sheath of the biceps tendon is a direct extension of the synovial lining of the glenohumeral joint. In the same manner, relieving this can help your body heal. A biceps tendon rupture usually occurs when the tendon tears away from the forearm bones. PDF Biceps Tenodesis Protocol - Boston Shoulder Institute 199 0 obj <>stream During tissue healing, controlled therapeutic stress is necessary to optimize. FAQs and information from BayCare Clinic. Your physical therapist may also have you perform a home exercise program that you do independently. Conservative Posterior Instability. Biceps Tendonitis Physical Therapy and Rehab - Verywell Health This state of the art facility offers the latest in orthopedic, plastics, pain management, urology and podiatry technique set by high qualified surgeons. Wrist and hand gripping exercises. % When this tendon tears, however, the tear is usually complete and the muscle is separated from the bone and retracted back. Thats why distal biceps tendinopathy is one of the most common causes of elbow pain in lifters and athletes. % Youll notice a hard time twisting doorknobs or using tools like wrenches and screwdrivers. Dr. Awowale ACL Reconstruction ACL Reconstruction with Meniscus Repair or Microfracture Distal Biceps Repair Hip Arthroscopy Rotator Cuff Repair Protocol SLAP Repair, Bankart Repair, or Biceps Tenodesis Total Shoulder or Reverse Arthroplasty Protocol Dr. DeVries But over time, it can cause pain, loss of strength, and difficulty flexing your elbow. These are done to determine your functional baseline and to guide treatment for your shoulder. <> As a preface to discussion of the goals of treatment during injury rehabilitation, two points must be made: Biceps tendinopathy is an inflammation that can be caused by the normal ageing process as well by a degenerative process which usually occurs in athletes with repetitive overhead movements. complete distal biceps avulsion. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Follow BayCare Clinic on Facebook and Twitter. Thats only going to make the issue worse. <> It is theorized that this type of contraction remodels the collagen that makes up the tendon, helping it to heal properly. Distal Biceps Tendon . Physical therapy for biceps tendonitis can be helpful to decrease pain, improve shoulder strength and range of motion, and improve functional mobility and use of your arm. )C&6_ qHj)Mi?u=Nqi\F(HuCBS+k8S5as= 4rnOD0$U.s\{=G|?W/aw0j%%|tc_f>n(bC$+pridgyq^Oy}yTI0#d?%#?V]PBc~>@sO.;1|1! This sheath provides lubrication to the tendon and allows it to glide and slide normally in the front of your upper arm. stream International Journal of Clinical Medicine. The biceps muscle is responsible for bending (flexing . This is localized to the hollow in the front of your elbow or sometimes just below there, in the forearm. Protection & Education Time Frame 0 to 6 weeks post procedure Key Goals Protection of surgical repair Minimise pain & inflammation Ensure patient understanding of appropriate post-operative management and restrictions Regain ROM If rest, ice, and . Physiopedia articles are best used to find the original sources of information (see the references list at the bottom of the article). How to Treat Biceps Tendinitis D`^l(=/t Distal Bicep Rupture | Bicep Tendon Tear Rehab (Without Surgery) Gently bend your wrist back so that your fingers point down toward the floor. Multiple techniques exist for tenodesis, including bone tunnels, keyhole technique, suture anchors, and interference screw fixation. Tears of the distal biceps tendon are unusual and most often result from an injury or lifting a heavy object. %PDF-1.5 This thickening of the ligament may cause abnormal rubbing on the tendon, leading to inflammation and irritation. Copyright 2023. These may include: If you suspect you have biceps tendonitis, you should visit your healthcare provider right away to get a diagnosis. The long head inserts at the top of the socket and the short head inserts adjacent to the socket on the coracoid process of the scapula. distal biceps tendon rupture represents about 10% of biceps ruptures. Can start unrestricted strengthening as pain permits. Easy Ways to Treat Bicep Tendonitis: 12 Steps (with Pictures) - wikiHow It can also help improve circulation to the tendon and help facilitate healing. Exercise for biceps tendonitis should be challenging, but not painful. The continuum of clinical pathology ranges from acute inflammatory tendinitis to degenerative tendinopathy. Your PT may apply ice at the end of your therapy session to keep inflammation to a minimum. Appointments: Monday - Friday 7:00am - 4:30pm, Business Office: Monday - Friday 8:00am - 4:30pm, Physical Therapy: Monday - Friday 7:00am - 5:00pm. Many physical therapists do not use ultrasound due to this lack of benefit. Eccentrics are also able to promote healing of tendons and so I recommend sprinkling them throughout your regular workout routine. Biceps Tendinopathy - Physiopedia In addition to the above, our doctors facilitate Oneida Healthcare for surgical procedures as well. Characteristics of proximal biceps tendinitis include the following: In addition, a thorough history includes a detailed account of the patients occupational history and current status of employment, hand dominance, history of injury/trauma to the shoulder(s) and/or neck, and any relevant surgical history. If you have pain that starts as soon as you lift, or if it persists after you are done, it's time to shut that muscle down. Biceps tendonitis is the inflammation of the long head of the Biceps tendon. Plymouth Distal Biceps Repair Rehabilitation Protocol Protocol DISTAL BICEPS REPAIR INTRODUCTION The biceps tendon ruptures off the forearm bone (radius) and retracts into the upper arm, causing a deformity andweakness. Raise your injured arm out to your side and place the thumb side of your hand against the wall (palm down). The stimulation, or e-stim, can be used to decrease pain, improve muscle function, or increase circulation. Surgical procedures are performed in the ultra-modern surgical suites at Community Memorial Hospital in Hamilton. Your first appointment with a physical therapist (PT) for biceps tendonitis is called an initial evaluation. He started LSO to keep more people moving better, longer. This injury occurs mainly in middle-aged men during heavy work or lifting. Keep your arm straight. Tendonitis occurs most commonly in the long head of the biceps tendon. Surgical management of biceps tendinitis includes removing the long head of the biceps tendon via arthroscopic tenodesis. First 7 - 10 days. <>/Metadata 640 0 R/ViewerPreferences 641 0 R>> Passive elbow extension exercises may be started if needed. Biceps Tendon Injury Exercises: References. Most commonly, LHB tendinopathy occurs in association with RC pathology, EI/SIS, or in tandem with subscapularis injuries. Brett Sears, PT, MDT, is a physical therapist with over 20 years of experience in orthopedic and hospital-based therapy. Heat can also be used to decrease pain and improve tissue mobility. Surgical management focuses on restoring the distal biceps tendon anatomy by repairing the tendon at its insertion site on the radius and allowing it to heal. 8. Still, some therapists use it, and you may encounter it when being treated for your biceps tendonitis.

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