AMSSM Sports Medcasts

Sports Medicine Primer Series – Bone Stress Injury (Part 1)

Dec 12, 2025
Guest
Adam Tenforde
Dr. Adam Tenforde, a Harvard sports medicine physician and former professional runner, joins Dr. Zainab Shirazi to dissect a case of hip pain in a weightlifter. They delve into the nuances of intra- vs. extra-articular pain and the importance of understanding an athlete's recent training changes and timelines. Tenforde shares insights on sport-specific biomechanics, emphasizing how different lifting techniques can impact injury risks. The duo also highlights the critical role of functional tests in diagnosing bone stress injuries, providing valuable clinical guidance.
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INSIGHT

Think Beyond The Hip

  • Hip pain requires distinguishing intra-articular vs extra-articular and referred sources before assuming the hip is the problem.
  • Activity changes and training load increases are key clues for bone stress or overuse injuries.
ADVICE

Ask About Training Load Changes

  • Ask about recent changes in frequency, duration, or intensity of training to assess bone stress risk.
  • Clarify onset (acute vs insidious) and the athlete's goals to prioritize diagnosis and management timing.
INSIGHT

Lifting Style Shapes Hip Injury Risk

  • Different lifting disciplines place distinct biomechanical stresses on the hip and influence likely diagnoses.
  • Competition timing raises urgency but must be balanced with accurate diagnosis for safe return.
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