Bankart Repair — (Arthroscopic or Open)

University of Delaware Physical Therapy · UDPT Clinical Team

Weight-Bearing

Sling 24 hrs/day week 1; remove at home weeks 2-4 (use in crowds); D/C sling weeks 5-6

Key Restrictions

Avoid High 5 / Low 5 positions; open repair: no active IR 4 weeks, no IR strengthening 6-8 weeks; if coupled with SLAP repair follow open Bankart guidelines; PROM limits: ER 30° (weeks 2-4), 45° (weeks 5-6); full ROM target weeks 9-12; no driving week 1

Timeline & Phases

Week 1 (sling, pendulum only); Weeks 2-4 (1-3x/week, 3-12 visits: PROM/AAROM, isometrics, scapular control, rhythmic stabilization); Weeks 5-6 (1-3x/week, 5-18 visits: isotonics, scapular strengthening, gentle dynamic stab, PRN NMES); Weeks 7-8 (1-3x/week, 8-24 visits: 2-handed plyometrics, isokinetics, D2 PNF); Weeks 9-12 (gym program, full ROM, MMT 5/5 goal); Weeks 13-15; Weeks 16-26 (sport-specific, interval throwing program); 11-29 total visits

Notes

University of Delaware PT Clinic; Bankart lesion = detachment of AIGHL/capsulolabral complex from anterior glenoid neck (traumatic anterior dislocation); updated March 2016; open repair compromises subscapularis (slower strength recovery, more stiffness); PRN NMES to supraspinatus and infraspinatus (EMPI 300PV: 400us/75pps/12 sec on/50 sec off; Versastim: 2500Hz/75 bursts/12 sec on/50 sec off; goal visible tetanic contraction); Sleeper stretch for IR (plane of scapula); isokinetics at 45° ABD weeks 9+; interval throwing/return to sport weeks 16-26; return to sport criteria: full ROM equal to uninvolved, MMT 5/5 all motions

Surgeon / Author

UDPT Clinical Team

Published

Updated March 2016