Bankart Repair

For success of the Arthroscopic Bankart repair, protection of the capsule and static stabilizers of the glenohumeral joint is important.  Patient’s level of pain is not an accurate gauge of healing and need for progression.  The repair is to be protected from external rotation.

Immediately postoperative
The patient will be placed in an immobilizer for six weeks.  The patient is allowed to start immediate hand, wrist, and elbow range of motion exercises.

2 Days post operative
Patient can remove immobilizer for showering and begin gentle pendulum exercises three times daily.  The immobilizer must be kept on for all other activities of daily living.  The patient must remember to avoid external rotation.

3 Weeks post operative
Physical therapy will then begin with gentle passive shoulder range of motion, avoiding external rotation past neutral position at all times.

6 Weeks postoperative
Sling is discontinued and patient begins supervised external rotation past neutral position without stressing extremes of external rotation.  Initiate active range of motion. Scapular, upper back, shoulder postural awareness, and isometric setting exercises can start with emphasis on guidance of forced external rotation.

8 Weeks postoperative
Active range of motion should approximate normal motion and external rotation will be limited.  Patient may being progression of gentle resistive exercises.

12 Weeks post operative
Acceleration of resistive exercises with avoidance of bench and military press.

6 Months post operative
Return to contact sports and initiate sport specific activities for racquet and throwing sports.

8 Months post operative
Return to full athletic activities.