Labral Repair — Anterior Bankart Repair — Pediatric

Massachusetts General Hospital · MGH Brigham Pediatric Sports Medicine

Weight-Bearing

N/A

Key Restrictions

Sling at all times wks 0-6 (sleep in sling 6 wks); no AROM until Phase III (wk 6); no carrying/lifting until 12 wks; no driving until 6 wks; no ABD/ER positions stressing anterior capsule; ER limited: wks 1-3 <20 deg, wks 4-5 to 30-45 deg @90 ABD, wks 6-8 to 50-65 deg; pediatric population at high risk of recurrent instability after surgical stabilization; hypermobility/low tone should be recognized and managed

Timeline & Phases

Phase I (0-3 wks): sling, pain management, wrist AROM, shoulder PROM wk 2 (FF <90/ER <20 deg), AAROM wk 3; Phase II (4-5 wks): sling, PROM FF 90-120/IR 60/ER 30 deg scapular plane, RC isometrics then isotonics, periscapular; Phase III (6-8 wks): DC sling, AROM, posterior capsule stretch, RC strengthening; Phase IV (9-11 wks): full PROM/AROM, light resistance to wk 12, 90/90 strengthening wk 10; Phase V (12-16 wks): push-ups progression, lat pull-down, Thrower's 10, restricted sport (light swimming/half golf swings), up to 15 lbs; Phase VI (4-6 mo): throwing/overhead sports per MD clearance

Notes

Revised 03/2024; 6-phase protocol; discharge criteria: strength 85% uninvolved, ER/IR ratio >64%, CKCUEST (males >21/females >23 taps), negative apprehension/impingement; Quick-DASH and/or Penn shoulder scale used; concomitant hypermobility/low tone addressed throughout. [Archived copy — original Massachusetts General Hospital URL retired in the Mass General Brigham site migration; Wayback snapshot 2025-02-16.]

Surgeon / Author

MGH Brigham Pediatric Sports Medicine

Published

2024-03