Bankart Repair — Anterior Shoulder Stabilization (Bankart Repair)

Sutter Health / Palo Alto Medical Foundation · Kevin Roth MD

Weight-Bearing

N/A (upper extremity)

Key Restrictions

Sling with abduction pillow at all times wks 1-3 (remove for exercises/showering); wear sling at night; sling for comfort wks 3-4; transition out of sling wk 4; no AROM or AAROM Phase I; no ER past 90° in 90° abduction Phases II-III; no tennis serves until 4 months

Timeline & Phases

Phase I (wks 1-3): sling with abduction pillow, PROM (flexion 90°, abduction 90°, ER 30°, IR to belly), Codman's pendulums, cervical ROM, scapular isometrics, elbow/wrist/hand ROM, general conditioning (bike/treadmill), no AROM/AAROM | Phase II (wks 3-6): sling for comfort wks 3-4 then wean, gradually increase flexion/extension to 80% of uninvolved, limit ER/abduction — no ER past 90° in 90° abduction, AAROM, pulley exercises, pool therapy, gentle RC isometrics (ER at neutral), periscapular/core strengthening, supine AAROM | Phase III (wks 6-12): near full ROM (except abduction/ER), continue limit no ER past 90° in 90° abduction, AROM, joint mobilizations, RC isometrics, elastic resistance (ER/IR, forward punch, seated row, shoulder shrug, bicep curls, lat pulls, triceps), gentle overhead (ER/IR in 90/90, PNF D1/D2) | Phase IV (wks 12-16): full ROM, resistance bands, golf/tennis (no serves until 4 months), free weights low weight/high reps, IR/ER sidelying, supraspinatus in scapular plane, shoulder flexion pain-free range, arm ergometer | Phase V (wks 16+): sport-specific skills at low intensity, throwing program for throwers, tennis serves, total body conditioning

Notes

Published 2024; tabular format; no ER past 90° in 90° abduction restriction maintained through Phases II-III to protect anterior capsule; general conditioning (bike/treadmill) permitted Phase I; throwers initiate throwing program Phase V (16+ wks); tennis serves at 4 months; Kevin Roth MD Orthopedic Sports Medicine, Palo Alto CA (650-853-2943)

Surgeon / Author

Kevin Roth MD

Published

2024