Prevent Disease.com - Osteolysis of Clavicle - 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
