Latarjet Physical Therapy Protocol

Rehabilitation after the Latarjet procedure protects both the coracoid bone transfer and the soft-tissue stabilization effect while restoring shoulder strength and stability.

The coracoid bone block must heal securely to the glenoid before heavy loading, collision activity, or aggressive return to sport.

Phase 1: Bone Healing Protection — 0 to 6 Weeks

• Sling protection as instructed
• Protected passive motion
• Avoid instability positions
• No heavy lifting
• No pushing or pulling
• Hand, wrist, and elbow motion

The early priority is protecting the bone transfer and soft tissue repair.

Phase 2: Motion and Strength Recovery — 6 to 12 Weeks

• Progressive shoulder motion restoration
• Rotator cuff strengthening
• Scapular strengthening
• Functional stabilization
• Gradual return to daily activity

Progression depends on healing, stability, comfort, and surgeon-specific restrictions.

Phase 3: Return to Sport — 4 to 6 Months and Beyond

• Progressive strengthening
• Neuromuscular control training
• Sport-specific rehabilitation
• Overhead athlete progression when appropriate
• Collision sport progression only after healing and clearance

The goal after Latarjet surgery is stable healing of the bone transfer with safe return to high-demand activity and reduced risk of recurrent instability.