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

Adam Seidl, MDBoard Certified Orthopaedic SurgeonShoulder and Elbow Specialist

Pectoralis Major Repair

PHASE I – 0-4 Weeks

  • Sling Immobilizer: Worn at all times – sleep with pillow under elbow to support the operative arm
  • Range of Motion: Supported pendulum exercises under guidance of PT
  • Therapeutic Exercises:
    • Hand exercises
    • Elbow and wrist active motion (with shoulder in neutral position at the side)
    • May ride stationary bike with arm in sling

PHASE II – 4-6 Weeks

  • Sling Immobilizer: Worn at all times – sleep with pillow under elbow to support the operative arm
  • Range of Motion: AAROM in the supine position with wand – Goal: Forward Elevation to 90 degrees
  • Therapeutic Exercises:
    • Hand exercises
    • Elbow and wrist active motion (with shoulder in neutral position at the side)
    • Shoulder shrugs/scapular retraction without resistance
    • May ride stationary bike with arm in sling

PHASE III – 6-8 Weeks

  • Sling Immobilizer: May be discontinued
  • Range of Motion: AROM only in the pain free range – No PROM. AAROM (pulleys, supine wand, wall climb) – Goals: Forward Elevation to 120 degrees and Abduction to 90 degrees, ER to tolerance
  • Therapeutic Exercises:
    • Hand exercises
    • Elbow and wrist active motion (with shoulder in neutral position at the side)
    • Submaximal isometrics

PHASE IV – 8-12 Weeks

  • Range of Motion: AROM and AAROM only in the pain free range – No PROM. Goals: Full ROM
  • Therapeutic Exercises:
    • Light Theraband (ER, ABD, Extension), Biceps and Triceps PREs, Prone Scapular Retraction Exercises (no weights), Wall Push-Ups (no elbow flexion >90 degrees)

PHASE V – 3-6 Months

  • Range of Motion: Full ROM
  • Therapeutic Exercises:
    • Theraband (ER, ABD, Extension) with increasing resistance, may start light weight training at 4 months post-op (no flies or pull downs), Regular Push-Ups
    • Return to sport at 6 months post-op

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Location Map

  • Orthopedics - University of Colorado Hospital

    1635 Aurora Ct
    4th Floor
    Aurora, CO 80045

  • UCHealth Lone Tree Clinic

    9548 Park Meadows Dr
    Lone Tree, CO 80124

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