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The Curbsiders Internal Medicine Podcast

#455 Sports Injuries Part 2: Hip and Knee

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.
54:04

Episode guests

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Quick takeaways

  • Understanding the patient's history is crucial in diagnosing stress fractures and differentiating between injuries like bursitis and tendinopathy.
  • Effective management of hip stress fractures requires careful imaging assessment and proper counseling on recovery timelines for athletes.

Deep dives

Introduction to Sports Injuries

The episode dives into the various aspects of sports injuries, starting with an emphasis on understanding the specific history and training backgrounds of athletes. For distance runners, it highlights the risks of stress injuries, particularly when training volume increases significantly, such as going from 20 to 40 miles per week. Such cases can indicate serious conditions like hip stress fractures, especially if pain leads to limping or a cessation of running activities. The discussion stresses the importance of obtaining a comprehensive patient history focused on mileage, previous injuries, and specific symptoms to assess the risk of injuries.

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