Female Athlete Triad

10/22/21 • 10 min

The Female Athlete Triad
First described in 1992
1. Amenorrhea
2. Osteoporosis
3. Disordered Eating
It is really important to make athletes, parents, trainers and coaches aware of this triad. Usually a stress fracture may be the first presentation of these disease pattern.

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Previous Episode

Optimize Yourself

When you have elective or scheduled surgery it is important to be as healthy as you can to reduce the chance of a complication. We call this process optimizing a patient for surgery. Here I will talk to you about what we look for and why it is important.
There is a great risk tool you can use to look at your risk at the time of total joint replacement from the National Joint Registry in the UK: https://jointcalc.shef.ac.uk/

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Guidelines for Management of Knee Osteoarthritis

Here is my summary of the AAOS (American Academy of Orthopedic Surgeons) Clinical Practice Guidelines on Management of Osteoarthritis of the Knee (Non-Arthroplasty) 3rd
1. Not Recommended
a. narcotic medication
b. viscosupplements (hyaluronic acid)
c. arthroscopic washout
d. orthotics
e. interposistional devices
2. Should Help
a. oral or topical Nsaids
b. acetaminophen
c. patient education
d. self management / supervised exercise
3. May Help
a. cane
b. brace
c. oral supplements (tumeric, ginger, glucosamine, chondrotin, vit D)
d. weight loss
e. neuromuscular training, manual therapy, massage
f. cortisone injections
g. PRP injections
h. denervation
i. menisectomy if other conservative options have failed
j. osteotomy
you can read the full guidelines here:
https://www.aaos.org/quality/quality-programs/lower-extremity-programs/osteoarthritis-of-the-knee/