Knee pain in competitive swimming

The high volume of training in competitive swimming results in cumulative o verload injuries. Knee pain ranks second to shoulder pain as a common compl aint in competitive swimmers. Most knee pain occurs on the medial side of t he knee and, most commonly, in breaststroke swimmers; however, knee pain ma y accompany all strokes. This article reviews the incidence of knee pain, t he biomechanic and anatomic factors predisposing to injury, specific injury patterns, injury diagnosis, and the treatment and prevention of injury to the knee in swimmers.