Post-operative rehabilitation after surgical shoulder stabilization with Latarjet procedure: a study protocol for systematic scoping review


  • Stefanos Karanasios Department of Physiotherapy, School of Health and Care Sciences, University of West Attica, Aigaleo, Greece
  • Sophia Zepou Hellenic OMT eDu, Athens, Greece
  • Nafsika Atsidakou Hellenic OMT eDu, Athens, Greece



Glenohumeral dislocation, Glenohumeral instability, Anterior shoulder instability, Rehabilitation exercises


Background: Anterior shoulder instability (ASI) is highly prevalent in the general population causing a significant functional decline and increased healthcare burden. Among the surgical stabilization options, the Latarjet procedure is commonly preferred to treat traumatic ASI in young active individuals. Despite the advances in surgical procedures, the research evidence regarding the content of post-operative rehabilitation programmes following a Latarjet procedure for ASI is inconclusive.

Methods: This protocol will adhere on the preferred reporting items for systemic reviews and meta-analyses extension for scoping reviews (PRISMA-ScR) and the Joanna Briggs Institute guidelines. MEDLINE, OvidSP, Embase, Cochrane Library, CINAHL, PubMed, SPORTS Discus and Scopus databases will be searched for relevant studies. Two reviewers will independently screen the results against the eligibility criteria defined by the population concept and context of this scoping review. A PRISMA-ScR flow diagram will be used to present the number of sources of evidence identified. The two reviewers will extract the data aiming to synthesize the results in appropriate tables. The most relevant details of the post-operative rehabilitation programmes will be presented based on consensus on exercise reporting template checklist.

Conclusions: This scoping review can provide critical information regarding the content of the post-operative rehabilitation programmes after shoulder stabilization with a Latarjet procedure in patients with ASI.


Bottoni CR, Wilckens JH, DeBerardino TM, D'Alleyrand JC, Rooney RC, Harpstrite JK, et al. A prospective, randomized evaluation of arthroscopic stabilization versus nonoperative treatment in patients with acute, traumatic, first-time shoulder dislocations. Am J Sports Med. 2002;30(4):576-80.

Hayes K, Callanan M, Walton J, Paxinos A, Murrell GA. Shoulder instability: management and rehabilitation. J Orthop Sports Phys Therap. 2002;32(10):497-509.

Galvin JW, Ernat JJ, Waterman BR, Stadecker MJ, Parada SA. The Epidemiology and Natural History of Anterior Shoulder Instability. Curr Rev Musculoskelet Med. 2017;10(4):411-24.

Farrar NG, Malal JJ, Fischer J, Waseem M. An overview of shoulder instability and its management. Open Orthop J. 2013;7:338-46.

Ismail MM, El Shorbagy KM. Motions and functional performance after supervised physical therapy program versus home-based program after arthroscopic anterior shoulder stabilization: a randomized clinical trial. Ann Phys Rehab Med. 2014;57(6-7):353-72.

Arner JW, Peebles LA, Bradley JP, Provencher MT. Anterior Shoulder Instability Management: Indications, Techniques, and Outcomes. Arthroscopy. 2020;36(11):2791-3.

Hurley ET, Manjunath AK, Bloom DA, Pauzenberger L, Mullett H, Alaia MJ, et al. Arthroscopic Bankart Repair Versus Conservative Management for First-Time Traumatic Anterior Shoulder Instability: A Systematic Review and Meta-analysis. Arthroscopy. 2020;36(9):2526-32.

Levine WN, Sonnenfeld JJ, Shiu B. Shoulder Instability: Common Problems and Solutions. Clin Sports Med. 2018;37(2):161-77.

Blonna D, Bellato E, Caranzano F, Assom M, Rossi R, Castoldi F. Arthroscopic Bankart Repair Versus Open Bristow-Latarjet for Shoulder Instability: A Matched-Pair Multicenter Study Focused on Return to Sport. Am J Sports Med. 2016;44(12):3198-205.

Fedorka CJ, Mulcahey MK. Recurrent anterior shoulder instability: a review of the Latarjet procedure and its postoperative rehabilitation. Phys Sports Med. 2015;43(1):73-9.

Bliven KCH, Parr GP. Outcomes of the Latarjet Procedure Compared With Bankart Repair for Recurrent Traumatic Anterior Shoulder Instability. J Athletic Training. 2018;53(2):181-3.

Beletsky A, Cancienne JM, Manderle BJ, Mehta N, Wilk KE, Verma NN. A Comparison of Physical Therapy Protocols Between Open Latarjet Coracoid Transfer and Arthroscopic Bankart Repair. Sports Health. 2020;12(2):124-31.

Popchak AJ, Christain H, Poploski K. Postoperative Rehabilitation and Return to Play Criteria After Anterior Shoulder Stabilization Procedures. Operative Techniques Orthop. 2021;31(1):100863.

An VV, Sivakumar BS, Phan K, Trantalis J. A systematic review and meta-analysis of clinical and patient-reported outcomes following two procedures for recurrent traumatic anterior instability of the shoulder: Latarjet procedure vs. Bankart repair. J Shoulder Elbow Surg. 2016;25(5):853-63.

Coyle M, Jaggi A, Weatherburn L, Daniel IH, Chester R. Post-operative rehabilitation following traumatic anterior shoulder dislocation: A systematic scoping review. Shoulder Elbow. 2023;15(5):554-65.

Gibson J, Kerss J, Morgan C, Brownson P. Accelerated rehabilitation after arthroscopic Bankart repair in professional footballers. Shoulder Elbow. 2016;8(4):279-86.

Tricco AC, Lillie E, Zarin W, O'Brien KK, Colquhoun H, Levac D, et al. PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. Ann Intern Med. 2018;169(7):467-73.

Peters MD, Godfrey CM, Khalil H, McInerney P, Parker D, Soares CB. Guidance for conducting systematic scoping reviews. Int J Evid-Based Healthc. 2015;13(3):141-6.

Kim SH, Ha KI, Jung MW, Lim MS, Kim YM, Park JH. Accelerated rehabilitation after arthroscopic Bankart repair for selected cases: a prospective randomized clinical study. Arthroscopy. 2003;19(7):722-31.

Susan CS, Clermont ED, Martin U, Rachelle B. Consensus on Exercise Reporting Template (CERT): Explanation and Elaboration Statement. British Journal of Sports Medicine. 2016;50(23):1428.

Galvin JW, Eichinger JK, Cotter EJ, Greenhouse AR, Parada SA, Waterman BR. Trends in Surgical Management of Anterior Shoulder Instability: Increased Utilization of Bone Augmentation Techniques†. Military Med. 2018;183(5-6):e201-6.

DeFroda SF, Mehta N, Owens BD. Physical Therapy Protocols for Arthroscopic Bankart Repair. Sports Health. 2018;10(3):250-8.

Lloyd G, Day J, Lu J, Lincoln A, Attanasio S, Svoboda S. Postoperative Rehabilitation of Anterior Glenohumeral Joint Instability Surgery: A Systematic Review. Sports Med Arthrosc Rev. 2021;29(2):54-62.

Kim SH, Ha KI, Cho YB, Ryu BD, Oh I. Arthroscopic anterior stabilization of the shoulder: two to six-year follow-up. J Bone Joint Surg. 2003;85(8):1511-8.

Law BK, Yung PS, Ho EP, Chang JJ, Chan KM. The surgical outcome of immediate arthroscopic Bankart repair for first time anterior shoulder dislocation in young active patients. Knee Surg Sports Traumatol Arthrosc. 2008;16(2):188-93.

Abdul-Rassoul H, Galvin JW, Curry EJ, Simon J, Li X. Return to Sport After Surgical Treatment for Anterior Shoulder Instability: A Systematic Review. Am J Sports Med. 2019;47(6):1507-15.

Imam MA, Shehata MSA, Martin A, Attia H, Sinokrot M, Bahbah EI, et al. Bankart Repair Versus Latarjet Procedure for Recurrent Anterior Shoulder Instability: A Systematic Review and Meta-analysis of 3275 Shoulders. Am J Sports Med. 2021;49(7):1945-53.

Genena A, Hashem M, Waly A, Hegazy MO. Open Latarjet Versus Arthroscopic Bankart Repair for the Treatment of Traumatic Anterior Shoulder Instability in High-Demand Patients With Minimal Glenoid Bone Loss. Cureus. 2023;15(4):e37127.

Kukkonen J, Elamo S, Flinkkilä T, Paloneva J, Mäntysaari M, Joukainen A, et al. Arthroscopic Bankart versus open Latarjet as a primary operative treatment for traumatic anteroinferior instability in young males: a randomised controlled trial with 2-year follow-up. Br J Sports Med. 2022;56(6):327-32.

Rollick NC, Ono Y, Kurji HM, Nelson AA, Boorman RS, Thornton GM, et al. Long-term outcomes of the Bankart and Latarjet repairs: a systematic review. Open Access J SportsMed. 2017;8:97-105.