Latarjet Procedure — Open Coracoid Transfer (Latarjet Procedure)

Sutter Health / Palo Alto Medical Foundation · Kevin Roth MD

Weight-Bearing

N/A (upper extremity)

Key Restrictions

Sling at all times day and night wks 0-2; sling daytime only wks 2-6; ER limited to passive 45° x 6 wks to protect subscapularis repair; no active IR or extension until 6 wks; grip/pendulum/elbow ROM wks 0-3 only; cuff/deltoid isometrics at wks 3-6; light resisted ER at wks 6-8; resisted IR/extension at wks 8-12

Timeline & Phases

Phase I (0-6 wks): sling at all times wks 0-2 then daytime only wks 2-6; wks 0-3: grip strengthening, pendulum exercises, elbow/wrist/hand ROM at home; wks 3-6: cuff and deltoid isometrics, ER limited to passive 45°, no active IR or extension; FE progresses as tolerated | Phase II (6-12 wks): no sling, increase to full FE and abduction, active-assisted/active IR and extension tolerated after 6 wks; wks 6-8: light resisted ER begins; wks 8-12: resisted IR, extension, and scapular retraction | Phase III (12-24 wks): full ROM without discomfort, advance strengthening as tolerated, closed chain scapular rehab, functional RC strengthening (focus anterior deltoid and teres), maximize subscapular stabilization

Notes

Published 2024; subscapularis repair protection: no active IR or extension until 6 wks, ER PROM limited to passive 45° x 6 wks; resisted ER begins wks 6-8, resisted IR/extension at wks 8-12; Phase III emphasizes anterior deltoid/teres strengthening and subscapular stabilization; no explicit RTS timeline stated; Kevin Roth MD Orthopedic Sports Medicine, Palo Alto CA (650-853-2943)

Surgeon / Author

Kevin Roth MD

Published

2024