Labral Repair — Anterior and Posterior Labral Repair / Capsulorrhaphy

UCLA Department of Orthopaedic Surgery - Sports Medicine · Thomas Kremen MD

Weight-Bearing

N/A (upper extremity)

Key Restrictions

Sling with abduction pillow x 4 wks (unless directed otherwise); no pendulum exercises; no active ROM x 8 wks; PROM elevation to 90°; ER to 45° (×2 wks) → 70° at 0°/45°/90° elevation; no IR behind back x 8 wks; aquatic therapy at 3-4 wks; full ROM target by 8 wks

Timeline & Phases

Phase 1 (0-4 wks): sling with abduction pillow, no pendulums, no active ROM, PROM: elevation 90°, ER 45° → 70° at 0°/45°/90° elevation, IR to abdomen, no IR behind back, aquatic therapy 3-4 wks (submerged, slow active motion, no coronal plane abduction) | Phase 2 (4-8 wks): wean sling/abduction pillow, PROM → full ROM, elevation to 140°, ER 40° at 0°/45°/90°, IR thumb to L1, aquatic therapy without ROM limits | Phase 3 (8-12 wks): full ROM target by 8 wks, isometric ER/IR at 0°/45°/90°, rhythmic stabilization, AAROM → AROM elevation, PNF D1/D2, periscapular strengthening, light theraband/dumbbell resistance, aquatic therapy with paddle/webbed gloves, UBE | Phase 4 (12-16 wks): progress strengthening with weight, gym machines, IR/ER at 90° abduction, isokinetics 120-240°/sec | Phase 5 (16-24 wks): sport-specific functional progression, interval sport programs, plyometrics with pitchback, advanced strengthening

Notes

Covers both anterior and posterior labral repairs; sling WITH abduction pillow (unless MD directs otherwise) vs. without for Latarjet protocol; aquatic therapy earlier at 3-4 wks (vs. 8 wks for Latarjet); Phase 1 ends at 4 wks (vs. 8 wks for Latarjet); full ROM target by 8 wks (vs. 12 wks for Latarjet); ER target 40° at 0°/45°/90° in Phase 2; isokinetics begin 12-16 wks; RTS 16-24 wks; Kremen MD UCLA PatientPop practice site

Surgeon / Author

Thomas Kremen MD