Bankart Repair — Anterior Bankart Repair (Arthroscopic)

Mammoth Orthopedic Institute / Sierra Park PT · Timothy Crall MD (US Ski Team Physician); Bartlett White PA-C; Lance Georgeson…

Weight-Bearing

N/A (shoulder) — sling x6 weeks

Key Restrictions

Sling x6 weeks; ER limited to 45 deg at 30 deg ABD x6 weeks; flexion/ABD limited to 90 deg x6 weeks; no shoulder ER with ABD x6 weeks to protect repaired tissue; no shoulder extension x6 weeks; no swimming Phases I-III (no swimming in Phase IV until cleared); no running/jumping until full RC strength (distractive landing forces); avoid passive/forceful ER/extension/horizontal ABD Phase II+; no push-ups/pec flys Phase II; avoid high-fall-risk activities Phase III; RTS requires clearance from both MD and PT

Timeline & Phases

4 phases: Phase I (0-6 wks, sling, AAROM/PROM per ROM limits, submaximal isometrics, scapular PNF, AROM initiated at wk 5), Phase II (6-10 wks, AA/AROM, PROM to full FF/scaption, RC strengthening in non-provocative positions 0-45 deg ABD, scapular strengthening, UBE light resistance), Phase III (10-14 wks, full AROM, 5/5 RC strength goal at 90 deg ABD, prone T/W/Y, resisted ER/IR at 90 ABD, closed chain stabilization), Phase IV (14+ wks, high-velocity movements, 5/5 multi-rep RC testing at 90 ABD, plyometrics 2-hand below shoulder to overhead progression, sport-specific biomechanics/throwing/swimming education)

Notes

References University of Wisconsin Sports Medicine and Brigham and Women's Hospital; Lance Georgeson MPT February 2016; Crall MD February 2016; axillary nerve hypersensitivity noted as common occurrence with desensitization techniques; no swimming throughout Phases I-III; plyometric progression: 2-hand below shoulder → overhead → 1-hand below shoulder → 1-hand overhead; RTS requires both MD and PT clearance; 5/5 multi-rep RC strength at 90 ABD in scapular plane is RTS criterion

Surgeon / Author

Timothy Crall MD (US Ski Team Physician); Bartlett White PA-C; Lance Georgeson MPT

Published

February 2016