Bankart/SLAP

Question 1

What is the immobilizer use after any bankart repairs?

Answer 1

• 4 weeks
• keep hand at abdomen when our of immobilizer
• use while sleeping until 6 weeks.

Question 2

Describe the first 4 weeks of rehab post either bankers repair

Answer 2

• arm dangle
• elbow and wrist AROM
• snap sets in immobilizer
• core with immobilizer

Question 3

What are the range of motion restrictions for a posterior bankart repair?

Answer 3

• no shoulder elevation x 4 weeks
• no IR for 6 weeks
• no posterior glides for 10 weeks
• no sleeper stretch for 16 weeks

Question 4

What are the range of motion restriction for an anterior bankart repair?

Answer 4

• no shoulder elevation x 4 weeks
• no ER for 6 weeks (20 degrees is ok)
• No anterior glides for 10 weeks

Question 5

When can you start strength with an anterior bankart repair?

Answer 5

• Isometrics 4 weeks unless open, no IR until 6 weeks
• Scapular strength around 6 weeks
• RTC strengthening at 8 weeks.

Question 6

When can you start strength exercises with a posterior bankart repair?

Answer 6

• Isometrics at 4 weeks, unless open, no ER until 6 weeks
• Scapular strength at 6 weeks
• RTC strengthening at 8 weeks

Question 7

What are the 12 week goals for a bankart repair?

Answer 7

• Full elevation
• ER/IR 80% or within 20 degrees
• TROM is within 10 degrees
• Normal scapular mechanics
• ER/IR dynamometer at 0 and 90abd/45ER is 65%

Question 8

What are the 16 week goals for a bankart repair?

Answer 8

• Normal RTC strength
• Normal scapular mechanics
• Normal core
• TROM within 5 degrees

Question 9

When can you begin plyometric training on a bankart repair?

Answer 9

• around 3-4 months

Question 10

When car you begin a throwing program after a bankart repair?

Answer 10

-around 5 months.