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Weighlifters at Risk for Collarbone Damage
Lifting weights is one of the best ways to stay in shape and
feel good. However, because weightlifting can put tremendous strains
on your body, injuries can be lurking right around the corner.
One type of injury found in weightlifters is osteolysis of the
distal clavicle (ODC), a condition in which the collarbone slowly
breaks down and dissolves, causing pain, instability, and reduced
mobility and strength. Previous research has shown that ODC occurs
in over one-quarter of competitive weightlifters. Current research
is showing that the condition is indeed very common in both serious
amateur and competitive weightlifters.
In a recent study in the Journal of Sports Chiropractic and
Rehabilitation, researchers sought to determine the odds of
recreational weightlifters developing ODC. Twenty-nine individuals
who had lifted weights at least two-to-three times per week for
over six months completed a questionnaire regarding shoulder pain
and training/ health history. X-rays of both shoulders were obtained
and evaluated for ODC in all subjects.
ODC was diagnosed in half of all shoulders - much greater than
would be expected in nonlifters, and nearly double the prevalence
found in competitive weightlifters. The ODC-afflicted shoulder
joints also exhibited gradual widening and deformation.
Patients generally have well-developed shoulder musculature with
full range of motion but have trouble fully horizontally adducting
the arm without pain. Night pain is not often a complaint but
the patient typically will have difficulty sleeping on the afffected
side if pressure on the shoulder is increased.
Typically, patients cannot recall a specific incident which precipitated
their symptoms (called atraumatic osteolysis). They can have pain
with specific orthopedic exams (i.e. rotator cuff and impingement
tests) making the original diagnosis very difficult for non-specialists
and general practitioners.
Weightlifters often have the most pain while performing bench
presses, push-ups, dips and the clean and jerk. These athletes
generally see a regression of symptoms if these exercises are
avoided or somewhat modified.
The occurrence of this condition does not seem to be affected
by how often or long a person has trained. If you lift weights,
adopt a consistent, moderate regimen, and never lift more weight
than you're capable of lifting safely. If you do take a period
of time off, gradually work your way back into the sport so that
your tissues have time to rebuild.
Reference: Brahee D, Osborne CA, Burke
J, et al. The prevalence of osteolysis of the distal clavicle
in recreational weight trainers. Journal of Sports Chiropractic
and Rehabilitation 2001:15(2), pp. 71-79.
More Information
- Distal
Clavicle Osteolysis
- Other
Shoulder Injuries
Reference
Source 21
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