Labral Repair — Arthroscopic Bankart Repair

Children's Hospital of Philadelphia (CHOP) · Dr. Theodore Ganley MD; Dr. Kathleen Maguire MD; Dr. Brendan Williams MD; Dr…

Weight-Bearing

Sling at all times including sleep except bathing and PT x 6 wks; D/C sling no sooner than wk 6

Key Restrictions

No active FF or ER Phase I (wks 0-6); no passive ER at 90 deg ABD Phase I; no WB/closed chain through involved UE Phase I; ER: ≤30 deg at 20 deg ABD wks 0-3, ≤45 deg wks 3-6; no ROM/stretching beyond staged goals; if hypermobile: avoid aggressive stretching; avoid strengthening with shoulder in end-range horizontal ABD beyond frontal plane (push-ups, bench press, dumbbell flys) Phase II; jogging begins wk 12

Timeline & Phases

5 phases: Wks 0-6 (sling, PROM/AAROM: FF/ABD <90 wks 0-3, <135 wks 3-6; ER at 20 deg ABD <30 then <45; scapular stabilization; submax isometrics), Wks 6-12 (staged ROM to full by wk 12, progressive resistance, weight bearing at wk 10), Wks 12-16 (after 3-month assessment: jogging, closed chain progression, ER/IR at 90 deg, UE plyometrics, Thrower's Ten), Wks 16-24 (sport-specific training, possible return to sport for non-throwers, interval throwing no sooner than 5 months), Months 6+ (unrestricted return to sport once criteria met; pitchers complete long toss first)

Notes

2023 revised; pediatric-focused but applicable to all ages; kinetic chain integration emphasized (lower extremity, trunk, core throughout); power lifting consideration for skeletally mature patients in Phase IV; if criteria met early, patient still must wait for appropriate timeframe; concomitant procedures alter progression, consult surgeon; adapted from Gaunt et al, JOSPT 2010; return to full activity 4-6 months non-throwers

Surgeon / Author

Dr. Theodore Ganley MD; Dr. Kathleen Maguire MD; Dr. Brendan Williams MD; Dr. J. Todd Lawrence MD PhD

Published

Revised 2023