Labral Repair — Anterior Shoulder Stabilization (Bankart / Remplissage / Latarjet)

Ohio State University Wexner Medical Center · OSU Sports Medicine

Weight-Bearing

Sling per surgeon; ER ≤30 deg x 6 wks

Key Restrictions

ER limited to 30 deg x 6 wks; ROM progression not forced; no jogging until wks 10-12; no Olympic lifting or bar bench press x 6 months; return to sport 5-6 months; contact sports/climbing minimum 6 months; throwing program at month 4 (return to game 9 months); refer back to surgeon with positive apprehension test; Remplissage: no active ER strengthening x 12 wks, no IR or cross-body stretching x 12 wks, no pushing motions, no grade 3-4 posterior mobs x 12 wks; Latarjet (open): subscapularis precautions if taken down — no ER >30 deg, no cross-body ADD, no active IR behind back; no anterior mobs; grade 1 mobs only until wk 6; no cross-body stretching x 12 wks

Timeline & Phases

4 phases: Phase I Protection (0-6 wks, staged ROM goals, FE to 135 and IR to 50 by wk 6), Phase II Intermediate (7-12 wks, FE 155 by wk 9, full PROM by wk 12, jogging at wks 10-12 with physician clearance), Phase III Advanced Activity (12-20 wks, terminal ER stretches at 12 wks, strength, endurance and power), Phase IV Return to Sport/Activity (16-20+ wks); throwing program at month 4; return to sport 5-6 months, minimum 6 months for contact sports and climbing

Notes

.edu site; CPG format; covers Bankart, Remplissage, and Latarjet with procedure-specific considerations; risk factors listed (excessive laxity, connective tissue disorders, history of instability); outcome tools: DASH, KJOC; discharge criteria: full AROM, 5/5 MMT shoulder and scapular, no substitution, low pain; Remplissage treated like posterior RTC repair

Surgeon / Author

OSU Sports Medicine