Document Detail


Aetiology of rib stress fractures in rowers.
MedLine Citation:
PMID:  12392443     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Rib stress fractures are a common and significant problem in the rowing population. They occur in approximately 6.1 to 12% of rowers and account for the most time lost from on-water training and competition. This review discusses possible causative factors for rib stress fractures in rowers. Central to the establishment of causative factors is the identification that each rib forms part of a closed ring of bone that is completed anteriorly by the sternum and posteriorly by the thoracic vertebrae. Because of the shared sternum anteriorly each ring of bone is mechanically connected. Subsequently, during rowing individual ribs are not loaded in isolation, rather the rib cage is loaded as a complete unit. Incorporating this functioning as a complete unit a possible mechanism by which different factors contribute to rib stress fracture can be developed. In rowing, muscle factors generate loading of the rib cage. The characteristics of this loading stimulus are influenced by equipment, technique and joint factors. Rib-cage loading generates bone strain in individual ribs with the response of each rib depending upon site-specific skeletal factors. Depending on the characteristics of the bone strain in terms of the magnitude and rate of strain, microdamage may develop. The bone response to this microdamage is reparative remodelling. Whether this response is capable of repairing the damage to prevent progression to a stress fracture is dependent upon training and gender factors. Identification of these factors will generate a better understanding of the aetiology of this injury, which is required for improved prevention and treatment strategies.
Authors:
Stuart J Warden; Fiona R Gutschlag; Henry Wajswelner; Kay M Crossley
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  Sports medicine (Auckland, N.Z.)     Volume:  32     ISSN:  0112-1642     ISO Abbreviation:  Sports Med     Publication Date:  2002  
Date Detail:
Created Date:  2002-10-23     Completed Date:  2003-03-13     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8412297     Medline TA:  Sports Med     Country:  New Zealand    
Other Details:
Languages:  eng     Pagination:  819-36     Citation Subset:  IM    
Affiliation:
Centre for Sports Medicine Research and Education, School of Physiotherapy, The University of Melbourne, Melbourne, Victoria, Australia. s.warden@unimelb.edu.au
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MeSH Terms
Descriptor/Qualifier:
Athletic Injuries / etiology*,  physiopathology
Biomechanics
Cumulative Trauma Disorders / complications,  physiopathology
Fractures, Stress / etiology*,  physiopathology
Humans
Muscle, Skeletal / physiopathology
Posture / physiology
Rib Fractures / etiology*,  physiopathology
Risk Factors
Sports Equipment / adverse effects

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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