Open Coracoid Transfer (Latarjet) Rehabilitation Program
PHASE I: 0-6 WEEKS POST-OP:
Range Of Motion
Limit ER to passive 45° to protect subscapularis repair
FE progress as tolerated
Sling
0-2 weeks: Worn at all times (day and night)
Off for gentle exercise only
2-6 weeks: Worn daytime only
Therapeutic Exercise
0-3 weeks: Grip strengthening, pendulum exercises
Elbow/wrist/hand ROM at home
3-6 weeks: Begin cuff, deltoid isometrics; limit ER to passive 45°
No active IR nor extension until 6 weeks
PHASE II: 6-12 WEEKS POST-OP:
Range Of Motion
Increase as tolerated to full
Begin active assisted/active internal rotation and extension as tolerated after 6 weeks
Sling
None
Therapeutic Exercise
6-8 weeks: Begin light resisted ER, forward flexion and abduction
8-12 weeks: Begin resisted internal rotation, extension and scapular retraction
PHASE III: 12-24 WEEKS POST-OP:
Range Of Motion
Progress to full ROM without discomfort
Sling
None
Therapeutic Exercise
Advance strengthening as tolerated
Closed chain scapular rehab and functional rotator cuff strengthening; focus on anterior deltoid and teres
Maximize subscapular stabilization
