SLAP Repair — (Type II-IV)

Mammoth Orthopedic Institute / Sierra Park PT · Brian B. Gilmer MD; Blake Rossi PT

Weight-Bearing

N/A (shoulder) — sling x4 weeks

Key Restrictions

Sling x4 weeks; no active biceps contraction x12 weeks (Type II) or longer (Type IV); no active ER/extension/flexion/ABD x2 weeks; ROM strictly weekly graduated (wk 1: flex 60 deg, ER 15 deg, IR 45 deg; wk 2: flex 75 deg; wk 3: flex 90 deg, ER 30 deg); Type II: isotonic biceps from wk 12; Type IV: gentle submax biceps isometrics only until wk 12 then gradual isotonic; RTS 6-9 months

Timeline & Phases

5 phases (document labels wks 7-20+ all as "Phase IV"): Phase I (0-2 wks, sling, strict weekly ROM limits, no active movement), Phase II (2-4 wks, sling DC at wk 4, PROM/AAROM to 90/85 deg/ER 30 deg), Phase III (5-6 wks, AROM gravity-eliminated then resisted, flex to 145 deg), Phase IV-a (7-9 wks, full flex/ABD by wk 9, RC isotonic, Throwers 10 program), Phase IV-b (10-12 wks, full 90/90 ER/IR, Type II biceps isotonic from wk 12), Phase IV-c (12-20 wks, plyometrics, slow return to sports), Phase IV-d (20+ wks, unrestricted participation, RTS 6-9 months)

Notes

Type II vs Type IV biceps strengthening timelines differ; Throwers 10 program initiated in Phase IV-a (wks 7-9); document labels multiple sub-phases as "Phase IV"; RTS 6-9 months; Blake Rossi PT March 2017; Gilmer MD March 2017; weekly ROM graduation wks 1-3 is unusually detailed

Surgeon / Author

Brian B. Gilmer MD; Blake Rossi PT

Published

March 2017