Accelerated rehabilitation after arthroscopic bankart repair for selected cases: a prospective randomized clinical study

The American Society of Shoulder and Elbow Therapists' Consensus Rehabilitation Guideline for Arthroscopic Anterior Capsulolabral Repair of the Shoulder

“…10,44,46 A 12-week period is often cited as the minimum postoperative time frame to begin vigorous activities, 7,23,45,61,94 and this time frame is consistent with our review of the literature for healing rates of the capsulolabral complex. 19,96 No clinical trial evidence supports this recommendation, only consensus from a multidisciplinary group of rehabilitation specialists.…”

“…3, 46 In a randomized controlled trial comparing 3 weeks of absolute immobilization to immediate staged ROM in a select group of patients undergoing Bankart repair, Kim et al 46 found that immediate ROM yielded no greater recurrence rate in dislocation, or difference in pain or function scores. These results apply to patients with recurrent (nonacute) instability brought on by a traumatic event, and a Bankart lesion only without the presence of a bony fragment (bony Bankart).…”

“…Additionally, considering that the capsulolabral complex appears to be within the safe boundaries of stress with the arm in adduction and up to 30° of external rotation, 37 immediate postoperative ROM in this range is safe. 46 Based on this evidence and our significant clinical experience rehabilitating patients following this surgery, we recommend a variable period between 0 up to 4 weeks of absolute immobilization following an arthroscopic anterior capsulolabral repair, in which sutures or suture anchors are utilized. Relative immobilization (out of sling only for ROM exercises or short periods of sitting or standing) is recommended for 6 weeks, followed by sling use for comfort.…”

“…32,62,75 Staged ROM goals are an effective tool to guide the rate of ROM progression. 46,52 We have proposed a general guideline for staged ROM goals that we were able to achieve consensus on from our multidisciplinary team of shoulder rehabilitation specialists ( TaBle 2). As with the specific period of immobilization, ROM goals may be modified by the surgeon or rehabilitation provider, based on the individual patient.…”

Current Concepts in Rehabilitation for Traumatic Anterior Shoulder Instability

“…Various authors have suggested 3-6 weeks of immobilization after labral repair [20,[23][24][25]. Kim et al found in their randomized study that immediate motion in select group of patients (traumatic soft tissue Bankart repair) yielded in no greater recurrence rate dislocation or difference in pain or functional score compared to 3 weeks of immobilization [26].…”