Labral Repair — SLAP Repair (Type II)

Massachusetts General Hospital · MGH Sports Medicine

Weight-Bearing

Sling with abduction pillow (30-45 deg ABD) x 6 wks; neutral rotation

Key Restrictions

No AROM/AAROM Phase I; no biceps contraction (elbow AROM) x 6 wks; ER <30 deg scapular plane Phase I; ER <45 deg Phase II; AROM begins wks 7-8; resisted elbow flexion not until wk 12

Timeline & Phases

6 phases: Phase I (0-3 wks, sling + ABD pillow, PROM ER<30/FF<90, no AROM/AAROM/biceps), Phase II (4-6 wks, PROM ER<45/FF<120, AAROM begins, no AROM or biceps), Phase III (7-8 wks, AROM + elbow flexion begins, sling D/C), Phase IV (9-12 wks, full PROM/AROM, resisted elbow flexion at wk 12), Phase V (13-16 wks, advanced strengthening, RTS criteria), Phase VI (4-6 months, return to sport)

Notes

Revised 10/2021; abduction pillow 30-45 deg x 6 wks distinguishes from Bankart protocols; no biceps/elbow AROM x 6 wks; RTS criteria: ER/IR ≥85% uninvolved and ER/IR ratio ≥60%; negative impingement/instability signs required. [Archived copy — original Massachusetts General Hospital URL retired in the Mass General Brigham site migration; Wayback snapshot 2026-02-28.]

Surgeon / Author

MGH Sports Medicine

Published

October 2021