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

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