Shoulder Stabilization — Distal Tibial Allograft (DTA) Anterior Shoulder Stabilization

UW Health Sports Medicine · UW Health Sports Rehabilitation; UW Health Sports Medicine physician group

Weight-Bearing

N/A (shoulder surgery)

Key Restrictions

Sling 4 weeks Phase I (no AROM); sling 6-8 weeks total; no ER >20° in neutral until Phase III; flexion/ABD limited to 135° Phase II; very gradual IR due to subscapularis split; if remplissage: limit eccentric infraspinatus strengthening

Timeline & Phases

Phase I (0-4 wks): sling, no AROM, gentle Codman's only; Phase II (4-8 wks): sling 6-8 wks, isometrics, AAROM, flexion/ABD to 135°; Phase III (8-12+ wks): progressive AROM, ROM restrictions 8-12 wks; Phase IV (16-18 wks): 5/5 RC at 90°, no sports; Phase V (24 wks): plyometrics, sport biomechanics; Phase VI (30-32 wks): sport-specific RTS (overhead: 100% Biodex/ASH/grip; contact: +CKCUET)

Notes

6-phase protocol for anterior glenoid bone loss treated with distal tibial allograft. More restrictive than arthroscopic Bankart: sling 6-8 wks, RTS at 30-32 weeks. Optional remplissage for Hill-Sachs lesion (limits infraspinatus eccentric loading). Copyright 2025.

Surgeon / Author

UW Health Sports Rehabilitation; UW Health Sports Medicine physician group

Published

2025