Shoulder instability post Latarjet Procedure

Acute phase (0-6 weeks)​

  • Sling x 4 weeks

    • Pendulums at 4 weeks postop

    • Active, AAROM in shoulder flex/ext plane is OK

    • Full Elbow and wrist ROM OK

    • No Shoulder ER past 0 degrees

    • No shoulder abduction

    • Deltoid isometrics OK

Intermediate phase (6-10 weeks)

  • Go SLOW

  • DO NOT PUSH through pain to regain motion

  • No Assisted shoulder ER past 0 degrees

  • No Forward flexion > 90 degrees

  • No Abduction > 90 degrees|

  • PROM OK

  • Pool exercises for AAROM in flex/ex, horizontal Adduction

  • OK to start light vertical rows

  • Exercises should be narrow grip and in front

  • No flies or bench press

  • Can do AROM, strength and isometrics

Weeks 10-16 postop

  • Continue PT as above

  • Go SLOW, do not push through pain

  • Advance motion slowly

  • PRE’s for biceps, triceps, scapula

  • No ER PRE’s

4 months postop

  • AROM, AAROM to improve ER

    • Goal 10-20 degrees less than other side

  • Keep PRE’s below horizontal plane for non-throwers

6 months postop

  • Return to sports / full activity / swimming for non-throwers

©2020 Kemble Wang Orthopaedics

 

Disclaimer: All information provided on this webpage should be considered as general guidelines. Actual practice and (expected) outcomes may differ in your case. The contents has been created online for information purposes only. It is not intended to be a substitute for specific advice from either Kemble Wang or your other healthcare practitioners