Labral Repair — Posterior Bankart Repair — Pediatric

Massachusetts General Hospital · MGH Brigham Pediatric Sports Medicine

Weight-Bearing

N/A

Key Restrictions

Sling 4-6 wks per surgeon; NO IR and NO horizontal adduction Phases I-II; no UE weight-bearing Phases I-II; no overhead/lifting/carrying/pushing/pulling Phases I-II; IR behind back to beltline only (Phase III); IR @90 deg ABD limited to 45 deg until wk 10 then 65 deg; Phase IV discharge: 80% ER/IR strength; Phase V discharge: 90% ER/IR strength and field testing

Timeline & Phases

Phase I (0-4 wks): sling, PROM ER to tolerance, FF to 90 deg (wk 2) and 120 deg (wk 4), isometrics ER/IR/flex/ext/ABD, scapular retraction; Phase II (5-6 wks): wean sling, AAROM/AROM FF to 140/IR to 30/ER to tolerance, side-lying ER, prone row, Grade 1-3 mobs; Phase III (7-12 wks): DC sling, AROM ER @90 to tolerance, IR limited 60 deg in scapular plane (65 deg at wk 12), wall push-ups wk 12; Phase IV (3-5 mo): full ROM, machine resistance, bench press wk 16, push-ups unstable surface wk 20, PNF; Phase V (6-7 mo): plyometrics, interval RTS at 28 wks

Notes

Revised 3/2024; 5-phase protocol; key distinction from anterior Bankart: NO IR (vs. NO ER); posterior capsule protection throughout; discharge: 90% ER/IR contralateral, 90% DASH/Penn; close physician collaboration recommended for individual ROM/loading guidelines. [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