Adam Seidl, MD - Board Certified Orthopaedic Surgeon - Shoulder and Elbow Specialist

Adam Seidl, MDBoard Certified Orthopaedic SurgeonShoulder and Elbow Specialist

Latissimus Tendon Repair

Latissimus / Teres Major Repair

Phase I (Weeks 0-2): Protect Repair

  • Sling to be worn at all times for 6 weeks except for showering and rehab exercises
  • Patient to do Home Exercises given post-op (pendulums, elbow ROM, wrist ROM, grip strengthening)

Phase II (Weeks 2-6): Protect Repair/ROM

  • True PROM only! The tendon needs to heal back into the bone.
  • ROM goals: 90° FF/30° ER at side; ABD max 40-60 without rotation
  • No resisted motions of shoulder until 12 weeks post-op
  • Grip strengthening
  • No canes/pulleys until 6 weeks post-op, because these are active-assist exercises
  • Heat before PT, ice after PT

Phase III (Weeks 6-12): Advance ROM

  • Begin AAROM > AROM as tolerated
  • Goals: Same as above, but can increase as tolerated
  • Light passive stretching at end ranges
  • Begin scapular exercises, PRE for large muscle groups (pecs, lats, etc.)
  • Isometrics with arm at side beginning at 8 weeks

Phase IV (Months 3-12): Restore Function/Return to Sports

  • Advance to full ROM as tolerated with passive stretching at end ranges
  • Advance strengthening as tolerated: isometrics > bands > light weights (1-5 lbs); 8-12 reps/2-3 sets per rotator cuff, deltoid, and scapular stabilizers
  • Only do strengthening 3x/week to avoid rotator cuff tendonitis
  • Begin eccentrically resisted motions, plyo (ex. Weighted ball toss), proprioception (es. body blade)
  • Begin sports related rehab at 4 months, including advanced conditioning
  • Return to throwing at 4 months, begin with light toss
  • Return to throwing from the pitcher’s mound at 6 months
  • Return to full competition 9-12 months

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Location Map

  • Orthopedics - University of Colorado Hospital

    1635 Aurora Ct,4th Floor
    Aurora, CO 80045

  • Highlands Ranch Hospital

    1500 Park Central Dr #401,
    Highlands Ranch,CO 80129

  • UCHealth Steadman Hawkins Clinic Denver

    175 Inverness Drive West, Suite 200,
    Englewood, CO 80112

Credibility Logos

  • The American Board of Orthopaedic Surgery logo
  • American Academy of Orthopedic Surgeons logo
  • American Shoulder And Elbow Surgeons logo
  • Western Orthopaedic Association logo
  • Alpha Omega Alpha
  • Moon Shoulder