Pectoralis Major Repair

Orthopaedic Associates of Maine

Weight-Bearing

FWB; immobilizer day and night wks 0-2; immobilizer daytime only wks 2-6; no immobilizer from wk 6

Key Restrictions

No PROM wks 0-3; PROM limits wks 3-6: 90° flex, 45° ER, 20° ext, 45° abd; no resisted IR/adduction until Phase III; avoid anterior capsule stretch; keep strengthening below horizontal plane Phase II; no plank/push-ups until wk 16; limited RTS at 4-5 months

Timeline & Phases

Phase I (0-6 wks, immobilizer), Phase II (6-12 wks, no resisted IR/adduction), Phase III (~12-16 wks, eccentrics/plyometrics), Phase IV (4-5 months, limited RTS), Phase V (full RTS)

Notes

No PROM for first 3 weeks; no resisted IR/adduction in Phase II; cycling/running at 12 weeks; limited return to sports at 4-5 months