Olympic Class Sailing Injuries and Illness: A 15-Year Study of a World Cup Regatta Venue.

INTRODUCTION: Olympic class sailing injuries are a minimally researched topic. Our study includes 15 y of data from medical coverage of the Miami venue during the Sailing World Cup. The objective was to examine the nature of Olympic class sailing injuries and illnesses during competition. METHODS: The records of the medical clinic encounters of a World Cup Sailing regatta were reviewed. Summary statistics and nominal categorized data regarding demographics, onset, mechanism, nature of condition, and referral were collected. RESULTS: There were 740 clinic encounters, ranging from 20 to 70 annually. Five hundred fifty-five (75%) were musculoskeletal in nature, and 184 (25%) were related to medical concerns. Twelve athletes were referred to the emergency department (ED), averaging <1 per year. However, 6 (50%) of the ED referrals came from NACRA 17, 49er, and 49er F-X classes, representing a 16% ED referral rate by fleet per year. In contrast, the remainder of the classes had a 0.04% ED referral rate. The lumbar spine, cervical spine, and foot/ankle were the most common body regions treated. Laser Radial sailors had 71(10%) visits, the most per class. Coaches and staff represented 59 (8%) visits. CONCLUSIONS: Olympic class sailing venue medical coverage should be equipped to treat a variety of acute and chronic injuries and illnesses among athletes as well as coaches and staff. Overall, rates of ED or other off-site referrals are low but higher for 49er, 49er F-X, and North American Catamaran Racing Association (NACRA)-17 classes.

Rehabilitation of an Elite Olympic Class Sailor With MCL Injury.

BACKGROUND: A paucity of literature exists related to the care of sailing athletes with knee injuries. Hiking has been examined to describe its demands, but comprehensive sources for rehabilitation recommendations based upon evidence are non-existent. Guidance and understanding of human motion are key to success in the face of limited evidence. OBJECTIVES: Impairments and functional restrictions were identified in a Finn Sailor with MCL (medial collateral ligament) injury. A regimen of strengthening, conditioning, and functional benchmarks was devised to progress a sailing athlete from non-functional to sailing specific training and the athlete's competitive goal. Coordination with a strength/conditioning professional was key to maintaining the athlete's competitive level. CASE DESCRIPTION: The patient is a 21 year old Finn class sailor with an acute MCL knee injury eight weeks prior to a world class and national ranking event. Following evaluation, treatment with sailing-specific functional testing coincided with training/conditioning. Common-sense functional tasks were used to replicate demands of hiking and balancing to evaluate readiness for sailing/training. OUTCOMES: Return to sailing with protection occurred in 12 days, unrestricted training and competition were achieved prior to the ranking event at 8 weeks. DISCUSSION: Mobility, stability, control, strength, and endurance are not only crucial to performance in the boat, but sailors need to avoid pitfalls in the boatyard while safely transitioning from land to water. Competitive calendars may not allow for textbook protocol, therefore, all goals should be strongly correlated with functional ability, athlete confidence, and performance needs.