Latarjet Procedure — (Coracoid Transfer for Anterior Shoulder Instability)

University of Virginia Orthopaedic Surgery

Weight-Bearing

NWB surgical UE

Key Restrictions

Sling at all times (remove only for shower with arm at side); sleep in sling with towel under elbow; no AROM of operative shoulder initially; no excessive ER ROM — respect anterior capsule; no lifting; no throwing/overhead until 4 months; avoid triceps dips, wide-grip bench press, military press, lat pulls behind head permanently after Latarjet

Timeline & Phases

Phase I (wks 1-3): sling always, PROM (FF/abd to tolerance, IR 45° at 30° abd, ER 0-25° in scapular plane), scapular clock/isometrics, ball squeezes, cryotherapy; Phase II (wks 4-9): advance PROM, wean sling wks 6-7, AAROM/AROM to 90-110° with good mechanics, rhythmic stabilization, scapular strengthening, IR/ER tubing; Phase III (wks 10-15): normalize strength/NM control, chest-level activities, biceps/subscapularis strengthening, gradual pec progression (avoid anterior capsule stress); Phase IV (wks 16-20): full ROM/strength, overhead activities if cleared, plyometrics/interval sports with PT and MD clearance

Notes

Phase II criteria to advance: 100° passive FF, 30° passive ER; Phase III criteria to advance: PROM FF ≥155°, AROM ≥145°, ER within 8-10° of contralateral at 20° abd; avoid "empty can"/IR in scaption due to impingement risk; avoid triceps dips, wide-grip bench, military press, lat pulls behind head; no throwing or overhead athletic moves until 4 months; 4 phases

Published

01/2023