The Curbsiders Internal Medicine Podcast #455 Sports Injuries Part 2: Hip and Knee
19 snips
Sep 30, 2024 
Dr. Carlin Senter, a specialist in sports injuries, joins to unravel the complexities of hip and knee injuries. Discover the critical factors surrounding stress fractures and relative energy deficiency in athletes. Dr. Senter discusses how to differentiate between conditions like trochanteric pain syndrome and meniscus tears. The podcast delves into anatomical insights, imaging strategies, and treatment considerations, emphasizing the importance of a holistic approach to recovery and rehabilitation for athletes.
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Quantify Runner Mileage
- Quantify running volume objectively when assessing hip pain in runners, as perceived exertion can be misleading.
- Consider stress fractures if weekly mileage exceeds 20 miles, especially with groin pain and limping.
Assess RED-S Risk
- Assess bone health, menstrual history, and nutrition, including RED-S (Relative Energy Deficiency in Sport), in runners with hip pain.
- Ask about history of stress fractures, amenorrhea, menses onset, family history, medications, and eating habits.
Stress Injury Types
- Bone stress injuries encompass stress reactions (no cortical break) and stress fractures (cortical break).
- Stress reactions are only visible on MRI, while stress fractures can be seen on X-rays.