Labral Repair — SLAP Repair / Bankart Repair / Biceps Tenodesis (2023 Update)

University of Virginia Orthopaedic Surgery

Weight-Bearing

NWB surgical UE

Key Restrictions

Sling 6 weeks; sleep in sling 3 weeks; no active ER/extension/abduction; no resisted biceps (elbow flexion/forearm supination) for 6 weeks; no biceps loading until week 10; no throwing/overhead sports until week 20; RTS (contact sports) no sooner than 5 months

Timeline & Phases

Phase I - Protective (0-6 wks): sling, PROM (flex/scaption 90°, ER 30°, IR 45°), no active ER/ext/abd, isometrics; Phase II - Moderate Protection (7-12 wks): isotonic RC strengthening, proprioceptive progressions, biceps AROM/submaximal isometrics at wk 10; Phase III - Minimum Protection (13-20 wks): full ROM, plyometrics, no throwing until wk 20; Phase IV - Advanced (21-26 wks): interval sports, throwing from mound wks 24-28; Isokinetic testing criteria: ER/IR ratio 70%, bilateral ER 98%, bilateral IR 105%

Notes

2023 update of existing protocol; no biceps loading until week 10; no throwing/overhead sports until week 20; contact sports no sooner than 5 months; isokinetic testing required for throwing athletes with specific passing criteria; 4 phases with clinical milestones to advance

Published

01/2023