The Latarjet procedure is an orthopedic surgery primarily used to treat recurrent anterior shoulder instability, particularly when there’s significant glenoid bone loss (>20–30%) or failed prior stabilization procedures. It involves transferring the coracoid process (a small piece of bone from the shoulder blade) along with the conjoined tendon (formed by the merging of the short head of the biceps brachii and the coracobrachialis muscles, originating from the coracoid process) to the front of the shoulder socket.
This achieves stability through three mechanisms:
- Bony augmentation to increase the glenoid surface area
- Sling effect from the conjoined tendon
- The transferred tendon acts like a dynamic sling at the front of the shoulder, particularly during abduction and external rotation. This helps prevent dislocation during high-risk movements like throwing or tackling.
- Capsular repair to reinforce soft tissues
This procedure is especially beneficial for contact athletes, manual workers, and patients with high-risk shoulder mech
🔄 Latarjet vs. Bankart Repair: Which One Is Right for Me?
Before comparing these two procedures, it’s helpful to understand what a Bankart repair actually is.
A Bankart repair is an arthroscopic procedure that reattaches the torn labrum (cartilage rim) at the front of the shoulder socket. This labral tear is common after a shoulder dislocation and is a frequent cause of ongoing instability in younger, athletic populations. Bankart repair is often the first line of surgical management, especially when there’s little to no bone loss in the glenoid.
However, in cases where bone loss is present or the initial repair fails, a bony procedure like the Latarjet may be recommended instead.
Both procedures aim to stabilize the shoulder, but they differ:
| Feature | Bankart Repair | Latarjet Procedure |
|---|---|---|
| Type | Soft tissue repair | Bone graft + tendon transfer |
| Best for | No bone loss, first-time dislocators | Bone loss, failed Bankart, high-demand users |
| Return to Sport | ~4–6 months | ~4–6 months |
| Recurrence Risk | Higher with bone loss | Lower recurrence overall |
Your surgeon may recommend Latarjet if you’re at high risk of re-dislocation due to contact sports or significant bone loss.
📅 Preparing for Shoulder Surgery: What to Expect Before a Latarjet
- Pre-op imaging: MRI, CT scan (to assess bone loss)
- Anaesthetic consult
- Prehabilitation: Gaining range, improving posture
- Logistics: Arrange transport, time off work, sling, ice packs
- Set expectations: 4–6 months before full return to high demand tasks
❓ Questions to Ask Your Surgeon Before Latarjet Surgery
- What are the risks of this procedure for me?
- What are the alternatives (e.g., arthroscopic Bankart)?
- What is the graft fixation method (screws vs buttons)?
- What are the chances of non-union or nerve issues?
- When can I drive, work, or lift weights again?
- How long will I be in a sling?
- Will I need post-op imaging?
⏱️ Realistic Timeline of Recovery After Latarjet Surgery
Phase 1 (0–6 weeks): Protection & Passive ROM
- Sling recommended continuously for the first 4 weeks, especially during the day
- Most surgeons advise continuing sling use at night for up to 6 weeks
- Passive ER to 30°, FF to tolerance
- Pendulums, scapular squeezes
Phase 2 (6–9 weeks): Active ROM
- Gradual withdrawal from sling
- Active assisted range may begin earlier (around 4 weeks) depending on surgeon preference and patient-specific factors
- Emphasis on regaining controlled motion while protecting healing structures
Phase 3 (10–15 weeks): Strengthening
- Band work: IR/ER, scapula, biceps
- Begin with caution around extension-based movements and exercises that stretch the anterior capsule, especially if a biceps tenodesis was performed concurrently
- Avoid push-up positions, dips, and aggressive pec stretches early on
- Prioritize controlled mid-range resistance with focus on scapular stability and rotator cuff endurance
Phase 4 (16–24+ weeks): Return to Sport
- Overhead & contact activity clearance
- Neuromuscular retraining
- Overhead throwing sports, combat sports, and high-level gymnastics may require extended rehab beyond 6 months due to the need for full strength, control, and confidence under load
- Movements involving aggressive external rotation and horizontal abduction under load (e.g., pitching, rugby tackles, rock climbing lock-offs) demand careful progression
- Sport-specific assessment is recommended to ensure readiness and reduce reinjury risk
🧘♀️ Why Rehab Is Crucial After a Latarjet
- Prevents stiffness and frozen shoulder
- Helps the transferred coracoid bone graft heal securely and integrate in a functional position
- Helps the shoulder muscles relearn how to move and stabilize the joint properly
- Reduces fear of movement (kinesiophobia)
Your rehab will progress through phases aligned to tissue healing and is best guided by a physio experienced in post-op shoulder care.
⚠️ Common Setbacks After Latarjet and How to Overcome Them
- Stiffness: Managed with early motion and physio
- Apprehension: Confidence-building and functional rehab
- Non-union: Avoid premature loading; requires surgeon review
- Scapular dyskinesis: Addressed with targeted exercises
- Nerve irritation: Often temporary; monitor and report
🏋️ Can I Lift Weights After Latarjet Surgery?
Yes, but gradually:
- Light resistance allowed ~10–12 weeks
- Avoid overhead press/bench press >90° until cleared (~16+ weeks)
- Focus on form and scapular control
Long-term, patients can safely return to weights and contact sports with proper programming.
🛌 Sleeping After Latarjet Surgery
- Sleep with the sling on (first 4–6 weeks)
- Use pillows behind the elbow and under the arm
- Sleep semi-reclined if side-sleeping is uncomfortable
🚗 When Can I Drive, Work, or Return to Manual Tasks?
| Activity | Typical Timeline |
| Driving | 4–6 weeks (off sling, safe reflexes) |
| Desk job | 1–2 weeks |
| Light manual work | ~8–10 weeks |
| Heavy manual work | 4–6 months |
⚡ Nerve Issues After Latarjet: What’s Normal vs Red Flag
- Normal: Temporary tingling in arm or shoulder
- Red flag: Persistent weakness, numbness, or burning pain
- Risk of axillary or musculocutaneous nerve stretch is low but possible—report symptoms early
🦴 Graft Healing After Latarjet: What Imaging Tells Us
- CT scan may be used at ~6–8 weeks to assess healing
- Signs of graft union: trabecular bridging between coracoid and glenoid
- Poor union may lead to instability or persistent pain
🏉 Rehab for Athletes After Latarjet: Getting Back in the Game
- Sport-specific drills start ~3–4 months post-op
- Gradual reintroduction of contact or overhead load
- Return to full training ~5–6 months if strength and control are optimal
✅ Key Takeaways
If you’re unsure about your recovery or need tailored rehab support, we can help. At Melbourne Shoulder Rehab, our physiotherapists are experienced in post-operative care after Latarjet surgery. Whether you’re early in the recovery journey or preparing to return to sport or work, we’ll guide you every step of the way.
📞 Book a consult today and feel confident you’re doing everything right to get your shoulder strong, stable, and pain-free.
- Latarjet is highly effective for bone-loss-related instability
- Success relies heavily on patient education, physio-led rehab, and gradual return to activity
- Knowing the timeline, expectations, and risks improves confidence and outcomes
📞 Need Help Recovering From Latarjet?
At Melbourne Shoulder Rehab, we offer expert physiotherapy for every stage of your recovery. Whether you’re pre-op or months post-surgery, we’re here to guide you safely back to your goals.
Book your appointment today and take the next step toward a stronger, more stable shoulder.