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Stress fractures of the ribs in elite competitive rowers: a report of nine cases

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Abstract

Objective

The objective was to report the clinical and imaging patterns of nine cases of stress fractures of the rib diagnosed in Italian Olympic rowers.

Patients and methods

Nine patients with stress fractures of the rib detected from 103 (8.7%) Italian team rowers competing between May 2000 and May 2006 were identified based on the database of a sports medicine institute. All athletes were male. They were aged between 17 and 31 years (mean: 24.4). Patient weight, fracture location, rowing side and imaging methods employed were noted.

Results

The diagnosis was made based on history, clinical examination and Tc-99m MDP bone scintigraphy. Eight of the 9 fractures were located anterolaterally between the fourth and ninth rib. In 1 of the 5 athletes with standard radiographs, a fracture line was visible and in 4 there was callus formation. In 2 athletes sonography was performed, which detected discontinuity of the rib surface and callus formation (1 case each).

Conclusion

Stress fractures of the ribs are relatively common in competitive rowers. They are characterized by increasing lateral chest pain and typical scintigraphic, radiographic and sonographic findings.

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References

  1. Daffner RH, Pavlov H. Stress fractures: current concepts. AJR Am J Roentgenol 1992;159:245–252.

    PubMed  CAS  Google Scholar 

  2. Jamard B, Constantin A, Cantagrel A, Mazieres B, Laroche M. Multiple rib fractures caused by coughing in a young woman without bone loss. Rev Hum Engl Ed 1999;66:237–238.

    CAS  Google Scholar 

  3. Maffulli N, Pintore E. Stress fractures of the sixth rib in a canoeist. Br J Sports Med 1990;24:247–249.

    Article  PubMed  CAS  Google Scholar 

  4. Taimela S, Kujala UM, Orava S. Two consecutive rib stress fractures in a female competitive swimmer. Clin J Sport Med 1995;5:254–257.

    Article  PubMed  CAS  Google Scholar 

  5. Lord MJ, Ha KI, Song KS. Stress fractures of the ribs in golfers. Am J Sports Med 1996;24:118–122.

    Article  PubMed  CAS  Google Scholar 

  6. Sakata T, Kimura Y, Hida T. First rib stress fracture in a sidearm baseball pitcher: a case report. J Sports Sci Med 2005;4:201–207.

    Google Scholar 

  7. Jensen JE. Stress fracture in the world class athlete: a case study. Med Sci Sports Exerc 1998;30:783–787.

    Article  PubMed  CAS  Google Scholar 

  8. Davis BA, Finnof JT. Diagnosis and management of thoracic and rib pain in rowers. Curr Sports Med Rep 2003;2:281–287.

    Article  PubMed  Google Scholar 

  9. Holden DL, Jackson DW. Stress fractures of the ribs in female rowers. Am J Sports Med 1985;13:342–348.

    Article  PubMed  CAS  Google Scholar 

  10. McKenzie DC. Stress fracture of the rib in an elite oarsman. Int J Sports Med 1989;10:220–222.

    PubMed  CAS  Google Scholar 

  11. Christiansen E, Kanstrup IL. Increased risk of stress fractures of the ribs in elite rowers. Scand J Med Sci 1997;7:49–52.

    Article  CAS  Google Scholar 

  12. Karlson KA. Rib stress fractures in elite rowers. A case series and proposed mechanism. Am J Sports Med 1998;26:516–519.

    PubMed  CAS  Google Scholar 

  13. Bojanic I, Desnica N. Stress fracture of the sixth rib in an elite athlete. Croat Med J 1998;39:458–460.

    PubMed  CAS  Google Scholar 

  14. Galilee-Belfer A, Guskievicz KM. Stress fractures of the eighth rib in a female collegiate rower: a case report. J Athl Train 2000;35:445–449.

    PubMed  CAS  Google Scholar 

  15. Secher NH. Physiological and biomechanical aspects of rowing. Implications for training. Sports Med 1993;15:24–42.

    PubMed  CAS  Google Scholar 

  16. Rossi F, Dragoni S. Talar body fatigue stress fractures: three cases observed in elite female gymnasts. Skeletal Radiol 2005;34:389–394.

    Article  PubMed  CAS  Google Scholar 

  17. Hickey GJ, Fricker PA, McDonald WA. Injuries to elite rowers over a 10-yr period. Med Sci Sports Exerc 1997;29:1567–1572.

    PubMed  CAS  Google Scholar 

  18. Vinther A, Kanstrup IL, Christiansen E, Ekdahl C, Aagaard P. Exercise-induced rib stress fractures: potential risk factors related to thoracic muscle co-contraction and movement pattern. Scand J Med Sci 2006;15:188–196.

    Article  Google Scholar 

  19. Vinther A, Kanstrup IL, Christiansen E, Aagaard P. Exercise-induced rib stress fractures: influence of reduce bone mineral density. Scand J Med Sci 2005;15:95–99.

    Article  Google Scholar 

  20. Warden SJ, Gutschlag FR, Wajswelner H, Crossley KM. Aetiology of rib stress fracture in rowers. Sports Med 2002;32:819–836.

    Article  PubMed  Google Scholar 

  21. Wajswelner H, Bennel K, Story I, Mc Keenan J. Muscle action and stress on the ribs in rowing. Phys Ther Sport 2000;1:75–84.

    Article  Google Scholar 

  22. McGregor AH, Bull AMJ, Byng-Maddick R. A comparison of rowing technique at different stroke rates: a description of sequencing, force production and kinematics. Int J Sports Med 2004;25:465–470.

    Article  PubMed  CAS  Google Scholar 

  23. Connell DA, Jhamb A, James T. Side strain: a tear of internal oblique musculature. AJR Am J Roentgenol 2003;181:1511–1517.

    PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Radiology, Institute of Sport Medicine and Science of the Italian Olympic Committee, Via dei Campi Sportivi, 46, 00197, Rome, Italy

    S. Dragoni

  2. Department of Health, University of Motor Sciences, Rome, Italy

    A. Giombini & M. Ripani

  3. Department of Physical Medicine and Rehabilitation, University of Rome “La Sapienza”, Rome, Italy

    A. Di Cesare

  4. Medical Department of the Italian State Police, Rome, Italy

    G. Magliani

Authors
  1. S. Dragoni
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  2. A. Giombini
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  3. A. Di Cesare
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  4. M. Ripani
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  5. G. Magliani
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Corresponding author

Correspondence to S. Dragoni.

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Dragoni, S., Giombini, A., Di Cesare, A. et al. Stress fractures of the ribs in elite competitive rowers: a report of nine cases. Skeletal Radiol 36, 951–954 (2007). https://doi.org/10.1007/s00256-007-0350-2

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  • DOI: https://doi.org/10.1007/s00256-007-0350-2

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