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Trigger Finger From Ocean Rowing: An Observational Study.

Ted Welman1,2, Kieron Young3, Jo Larkin4

  • 1Chelsea and Westminster Hospital NHS Foundation Trust, London, UK.

Hand (New York, N.Y.)
|May 19, 2020
PubMed
Summary
This summary is machine-generated.

Ocean rowing significantly increases trigger finger (tendonitis stenosans) prevalence by 15-fold. Shorter, frequent rest periods worsen symptoms, impacting performance in this repetitive grip sport.

Keywords:
hand injuryhand surgeryocean rowingtrigger finger

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Area of Science:

  • Orthopedics
  • Sports Medicine
  • Occupational Health

Background:

  • Trigger finger (stenosing tenosynovitis) affects 2-3% of the general population.
  • Repetitive gripping and flexion are suspected causes, but evidence is limited.
  • Ocean rowing is a growing sport with anecdotal links to trigger finger.

Purpose of the Study:

  • To determine the prevalence of trigger finger in ocean rowers.
  • To identify factors influencing trigger finger occurrence and severity.
  • To assess the impact of trigger finger on rowing performance.

Main Methods:

  • Prospective observational study of ocean rowers.
  • Survey included a trigger finger self-scoring system and overuse injury questionnaire.
  • Data collected from participants of the Talisker Whisky Atlantic Challenge 2018.

Main Results:

  • 83% response rate from 67 rowers; 49.3% reported clinical triggering, often bilateral (79.3%).
  • Shorter, more frequent rest periods correlated significantly with increased trigger finger incidence and severity (P=.0275, P=.0353).
  • High-grade trigger finger negatively affected rowing performance, though not statistically significant.

Conclusions:

  • Ocean rowers exhibit a 15-fold higher prevalence of trigger finger compared to the general population.
  • Trigger finger incidence is exacerbated by shorter, more frequent rest intervals.
  • Conclusive evidence links the repetitive power grip and flexion in rowing to increased trigger finger prevalence.