Posterior+Labral+Lesion

__**Duration:**__ Physical therapy treatment for approximately 12 weeks, 6 months return to sport

__Week 0-4__ PROM flexion to 90 PROM ER only to neutral AVOID IR!!
 * __Protocol:__**

__Week 4-6__ Progress ROM (slowly) Isometrics for ER and IR AVOID end range ER/IR!!

__Week 6-8__ Progress to full PROM Start AAROM AROM flexion to 90

__Week 9-12__ Stretching, isotonics

(protocol from Alison Deichert Kinney PT, DPT)

Another protocol mentioned by Pennington et al describes additional aspects such as non-weighted overhead activities at weeks 6-9. All other treatments were similar between the two protocols. 26 of the 28 patients involved in this study returned to sport and 23 of these returned to sport without limitations.


 * __Exercises:__** Rotator cuff strengthening, scapular stabilization exercises, stretching, throwing program may be initiated at 4-5 months

References: Mair, SD, RH Zarzour, and KP Speer. " Posterior labral injury in contact athletes." The American Journal of Sports Medicine 26.6 (1998): 753. PubMed. Web. 16 Apr. 2012.

Pennington, William T., Mark A. Sytsma, David J. Gibbons, Brian A. Bartz, Maggie Dodd, James Daun, and Johnathan Klinger. "Arthroscopic Posterior Labral Repair in Athletes: Outcome Analysis at 2-Year Follow-up ." Arthroscopy: The Journal of Arthroscopic & Related Surgery 26.9 (2010): 1162-1171. PubMed. Web. 16 Apr. 2012.