Pectoralis Major Repair

iOrtho

Weight-Bearing

Sling in neutral/IR; sleep in sling; bone-tendon wean at wk 4; tendon-tendon/muscle-tendon wean wks 5-6; WB through surgical side at wks 6-8

Key Restrictions

Very limited PROM initially (ER at 0 deg ADD, flex 45 deg, ABD 30 deg); no shoulder AROM until wks 6-8; no IR/pec major loading until wks 9-14; progressive PROM increases 5-10 deg per week

Timeline & Phases

Phase I (Wks 0-3), Phase II (Wks 4-6), Phase III (Wks 6-8 late), Phase IV (Wks 9-14 transitional), Phase V (Wks 14-20 advanced strengthening), Phase VI (Months 5-6 early RTS), Phase VII (Months 6+ unrestricted RTS)

Notes

Repair type (bone-tendon vs tendon-tendon vs muscle-tendon) dictates sling weaning timeline; 50% 1RM bench press at 6+ months with physician coordination

Published

August 2024