Great Britain Rowing Team Guideline for Diagnosis and Management of Rib Stress Injury: Part 2 – The Guideline itself

Evans, Guy; Redgrave, Ann

doi:10.1136/bjsports-2015-095928

Cited by 9 publications

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“…One athlete retired from rowing following their injury, and identified the injury as a contributing factor to this decision. The time cost of rib stress injury in our cohort are in excess of previously reported data4 18 19 which may be a consequence of authors varying definitions of a return to training 4 18 19. Regardless, it must be noted that no athlete sustaining reaction returned to full training before 24 days, and fracture 51 days, and highlights the importance of differentiation between fracture and reaction in the prediction of time cost.…”

Section: Discussioncontrasting

confidence: 54%

Rib stress injuries in the 2012–2016 (Rio) Olympiad: a cohort study of 151 Australian Rowing Team athletes for 88 773 athlete days

Harris¹,

Trease

Wilkie³

et al. 2020

Br J Sports Med

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AimTo describe the demographics, frequency, location, imaging modality and clinician-identified factors of rib stress injury in a cohort of elite rowers over the Rio Olympiad (2012–2016).MethodsAnalysis of prospectively recorded medical records for the Australian Rowing Team in 2013–2015 and the combined Australian Rowing Team and Olympic Shadow Squad in 2016, examining all rib stress injuries.Results19 rib stress injuries (12 reactions and 7 fractures) were identified among a cohort of 151 athletes and included 12 female and 7 male cases, 11 open weight, 8 lightweight, 12 scull and 7 sweep cases. The most common locations of injury identified by imaging, were the mid-axillary line and rib 6. Period prevalence varied from 4% to 15.4% and incidence ranged from 0.27 to 0.13 per 1000 athlete days. There were no significant differences in prevalence by sex, sweep versus scull or weight class. There was a statistically significant increase in incidence in the pre-Olympic year (2015, p<0.001). MRI was the most commonly used modality for diagnosis. Stress fracture resulted in median 69 (IQR 56–157) and bone stress reaction resulted in 57 (IQR 45–78) days lost to full on water training.ConclusionsIn our 4-year report of rib stress injury in elite rowing athletes, period prevalence was consistent with previous reports and time lost (median ~10 weeks) was greater than previously published literature. Rib stress injury limits training and performance in elite rowers and MRI should be considered as a first line investigation.

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Section: Discussioncontrasting

confidence: 54%

Rib stress injuries in the 2012–2016 (Rio) Olympiad: a cohort study of 151 Australian Rowing Team athletes for 88 773 athlete days

Harris¹,

Trease

Wilkie³

et al. 2020

Br J Sports Med

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“…The clinical findings of rib stress injuries have been concisely outlined by a guideline issued by the Great Britain Rowing team in 2015 16. History may reveal pain in the chest wall, which may occur with deep breathing, coughing or sneezing; with position changes; with weight training, running, use of the rowing ergometer; or with the causative activity, namely, the rowing stroke 12 13 16.…”

mentioning

confidence: 99%

“…Patients may experience tenderness along the midaxillary line of the chest wall 16. There may be a tender area over oedema or a palpable callus, but tenderness may be experienced anywhere along the affected rib 13 16.…”

mentioning

confidence: 99%

“…There may be a tender area over oedema or a palpable callus, but tenderness may be experienced anywhere along the affected rib 13 16. Also, the patient may report pain with use of the serratus anterior muscle or trunk flexion 16. If the injury is in an early stage, replication of the causative motion (ie, the rowing stroke) may be required to reproduce symptoms 7…”

mentioning

confidence: 99%

“…According to the British guidelines, management typically aims to remove bending forces from the rib, usually by stopping all rowing mechanics, both on the water and during dry-land cross-training 16. Other management options may include correcting certain biomechanical factors (ie, fixing poor technique) or beginning physiotherapy 13.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Imaging of rib stress fractures in elite rowers: the promise of ultrasound?

2017

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Rowing Injuries: An Updated Review

et al. 2016

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Although traditionally seen as a sport for elite schools and colleges, rowing is a founding Olympic event and is increasingly enjoyed by people of all ages and abilities. The sport's rapidly changing demographics shows significant growth in masters (age 27 years and above) and para-rowing populations. It has further expanded beyond its traditional flatwater format to include the discipline of open-water or coastal rowing, and an increased focus on indoor rowing. Rowing-specific injury research has similarly increased over the last decade since our last review, revealing areas of improved understanding in pre-participation screening, training load, emerging concepts surrounding back and rib injury, and relative energy deficiency in sport. Through a better understanding of the nature of the sport and mechanisms of injury, physicians and other healthcare providers will be better equipped to treat and prevent injuries in rowers.

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Great Britain Rowing Team Guideline for Diagnosis and Management of Rib Stress Injury: Part 2 – The Guideline itself

Cited by 9 publications

References 0 publications

Rib stress injuries in the 2012–2016 (Rio) Olympiad: a cohort study of 151 Australian Rowing Team athletes for 88 773 athlete days

Rib stress injuries in the 2012–2016 (Rio) Olympiad: a cohort study of 151 Australian Rowing Team athletes for 88 773 athlete days

Imaging of rib stress fractures in elite rowers: the promise of ultrasound?

Rowing Injuries: An Updated Review

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