Running Into Trouble

Home
About Us
- - About Us
  - About AMSSM
  - FAMSSM Designation
  - Awards
  - Founders
  - Past Presidents
  - Board of Directors
  - Committees
  - Contact Us
  - Bylaws/Policy & Committee Handbooks
- - FAMSSM Applications
  - Application submission is now open for the 2027 Class of AMSSM Fellows. New Fellows will be announced to the AMSSM membership after the first of the year and honored at the 2027 Annual Meeting.
    
    Applications for the FAMSSM Designation will be available on an annual basis. Please contact Ellen Glasgow with any questions regarding the FAMSSM application.
- - We Understand You

Communications
- - Communications
  - Collaborate.AMSSM.org
  - New Branding Campaign
  - AMSSM Member Marketing Toolkit
  - Journal Access
  - Publications/Position Statements
  - Press Releases
  - Brochures
  - Weekly Digests
- - Online AMSSM Community for Members
  - AMSSM Collaborate online community provides a forum for year-long connection, giving members the chance to have conversations, share resources and make connections with your peers.
- - AMSSM Informational Brochures
  - Find informational brochures about sports medicine physicians geared toward coaches, parents and other healthcare professionals.
Education
- - AMSSM Sports Medcasts
  - Find all current and past AMSSM Sports Medcast episodes in one convenient location.
- - AMSSM Fellow Online Lecture Series
  - The AMSSM National Fellow Online Lecture Series features talks from national experts on fundamental sports medicine topics pertinent to fellowship training and sports medicine board certification. Go to the collaborate.amssm.org site and view the available lectures in the Upcoming Events area.
Research
Advocacy
- - Legislative and Policy Issues
  - AMSSM is the go-to organization for legislative and policy issues related to sports medicine and athlete health and safety.
- - Legislation by State
  - AMSSM offers a variety of advocacy resources, including a map that tracks legislation important to sports medicine physicians.
Sports US
- - Sports Ultrasound Online Didactics
  - These 35 educational modules cover all of the didactic instructional session topics recommended for sports medicine fellows by the AMSSM.
- - Sports Ultrasound Committee
  - Find all the resources, materials and guidelines from the AMSSM Sports Ultrasound Committee
Patients
- - Need a Sports Medicine Physician?
  - FindADoc
- - SportsMedToday.com
  - Your comprehensive sports medicine resource for athletes, coaches and parents.
Additional Information
- - Additional Information
  - Sports Med Today
  - Journals
  - Weekly Digests
  - Store
  - Careers
  - Industry
Foundation

Running Into Trouble - Page #3

Lab Studies: Evaluation for Relative Energy Deficiency in Sport included a complete blood count, comprehensive metabolic panel, thyroid-stimulating hormone, free thyroxine, free triiodothyronine, ferritin, iron studies, vitamin D level, and dual-energy x-ray absorptiometry scan. Laboratory studies were overall unremarkable. Her vitamin D level was 23 ng/mL, which was within the laboratory reference range but below the treating team's preferred target for optimal bone health. A dual-energy x-ray absorptiometry scan obtained approximately 6 months after the injury demonstrated a lumbar spine Z-score of -1.0. Other Studies: Four-view radiographs of both knees demonstrated preserved joint spaces and normal bony cortices without fracture. No soft tissue swelling, loose bodies, or lateral patellar maltracking were identified. Case Photo #1 Case Photo #2 Case Photo #3 Magnetic resonance imaging of the right knee without contrast demonstrated intact menisci, cruciate ligaments, and articular cartilage. Low-grade popliteus tendinopathy and mild edema of the superolateral Hoffa fat pad were present. Case Photo #4 Case Photo #5 Magnetic resonance imaging also demonstrated a nondisplaced longitudinal stress fracture involving the proximal tibial metaphysis with associated stress reaction extending into the metadiaphysis. Case Photo #6 Case Photo #7 Case Photo #8 Consultations: Sports Nutrition and Physical Therapy were consulted. Given concern for Relative Energy Deficiency in Sport after the identification of a stress injury and a history of irregular menstrual cycles, nutritional evaluation was performed. Physical Therapy was consulted for gait retraining, hypermobility-specific strengthening, and return-to-running progression. Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
NOTE: For more information, please contact the AMSSM, 4000 W. 114th Street, Suite 100, Leawood, KS 66211 (913) 327-1415.

Back	Top

UPCOMING EVENTS

FIND A SPORTS DOC