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Shoulder Injuries in Canoeing and Kayaking.

Philip Holland1, Emma Torrance2, Lennard Funk3

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Shoulder injuries in paddlers often result from capsizing, leading to labral tears requiring surgery. Most paddlers successfully return to sport after treatment, with some even reaching international competition levels.

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Area of Science:

  • Orthopedics
  • Sports Medicine
  • Biomechanics

Background:

  • Shoulder injuries are common in athletic populations.
  • Paddlesport involves repetitive and high-stress upper limb movements.
  • Understanding injury patterns in paddlers is crucial for prevention and management.

Purpose of the Study:

  • To identify common shoulder injury mechanisms and patterns in paddlers.
  • To analyze the management and outcomes of these injuries.
  • To determine the rate of return to paddlesport after injury.

Main Methods:

  • A case series of 57 shoulder injuries in professional and recreational paddlers.
  • Review of patient data including Constant score, QuickDASH score, and VAS satisfaction score.
  • Analysis of injury mechanisms, demographics, and treatment outcomes over a mean follow-up of 55 months.

Main Results:

  • The most frequent injury mechanism was a capsize (26%), often resulting in labral tears requiring surgery.
  • Significant improvements in patient outcome scores (Constant, QuickDASH, VAS) were observed post-treatment.
  • Three slalom paddlers returned to international competition, one after bilateral shoulder surgery.

Conclusions:

  • Paddlers frequently injure shoulders during capsizing or rolling maneuvers, particularly with the shoulder in abduction and external rotation.
  • These specific movements during capsizes are a primary cause of severe shoulder injuries in the sport.
  • Effective management allows a high proportion of paddlers to return to high-level sport.