Shoulder Instability — Posterior Shoulder Stabilization

Dr. Michael C. Fu MD (Hospital for Special Surgery) · Michael C. Fu, MD, MHS

Weight-Bearing

N/A

Key Restrictions

Immobilizer 3 weeks; ROM limit in Phase I: 90 FF, 45 IR, 90 abduction; no posterior capsule stretching; keep all Phase II strengthening below horizontal plane

Timeline & Phases

Phase I (0-6 wks): immobilizer + limited PROM -> Phase II (6-12 wks): AAROM/AROM + isometrics -> Phase III (12-16 wks): eccentrics + endurance -> Phase IV (4-5 months): plyometrics + throwing program -> Phase V (5-7 months): full return

Notes

Posterior capsule protected throughout; ER and latissimus eccentrics emphasized in later phases; upper body ergometer begins Phase III

Surgeon / Author

Michael C. Fu, MD, MHS