Early morning rowers on the lake are a common sight in our
hometown of Seattle. Most prior studies of rowing overuse injuries have focused
on high rates of minor injuries to the lumbar spine, knee, wrist, and ribs.
However, a recent paper in the journal Clinical Orthopaedics and Related
Research examined injuries to the hip in adolescent and young adult rowers. In
a retrospective review, clinicians from the Blue Ridge Bone and Joint Clinic,
Asheville, NC, identified 21 hips in 18 rowers, mean age of 18.5 years, with significant hip
joint pathology. Most of the patients (85%) were female prep school or
collegiate rowers, and they exhibited isolated groin pain and physical findings
consistent with impingement. Eighteen of the 21 hips (85%) eventually underwent
arthroscopic surgery to repair labral tears and other pathology. However, only 10 of the patients returned to
rowing after surgery (2 were lost to follow-up). The authors believe that the mechanism of injury may be the repeated
hyperflexion of the hip which compresses the hip as the seat slides up and the
blade is placed in the water at the catch. The hips both go from extreme
flexion to extension thousands of times during practice and competition.
The bottom line of this study is that rowing may
cause significant overuse injury in the hip that can limit future participation
in the sport. If a rower has early signs
of hip pain, she should proceed cautiously and seek qualified help from an
orthopedic specialist. A young rower with a history of hip disorders should be
particularly vigilant.
Read more about the study here.
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