AOSSM 2022 Annual Meeting Recordings - no CME-Bone Up on Bone Health in Athletes: Key Points for Healthy Bones, A Case Based Discussion

Video Transcription

Video Summary

In this video, a committee is thanked for allowing the speakers to discuss bone health. The presenters express their excitement to address this important topic in an efficient and practical manner. They emphasize the worldwide epidemic of osteoporosis and the impact it has on individuals and society. Fragility fractures, commonly seen in orthopedics, are highlighted as they cause pain, disability, and a decrease in quality of life. The highest risk patients are those who have already experienced a fragility fracture. The presenters stress the importance of addressing bone health after such fractures, as there is a high risk of subsequent fractures, particularly in the first year following the initial incident. They mention that aging increases the risk of osteoporosis, and it is crucial to pay attention to bone health in young individuals, as their skeletal framework is developed during childhood and adolescence. The presenters argue that orthopedic surgeons have a role in recognizing and mitigating osteoporosis and promoting bone health. Recommendations for addressing bone health, such as referral to a fracture liaison service or bone health optimization program, are provided. The presentation continues by presenting case examples. One case involves a 19-year-old athlete who developed a stress fracture due to factors like sudden training changes, inadequate nutrition, and training load. Another case involves a 12-year-old female athlete who developed a stress fracture. Further investigation revealed a positive celiac panel, indicating celiac disease affecting her bone health. The presentation concludes with a case of severe osteoporosis in a 67-year-old competitive triathlete. Treatment options for osteoporosis, such as anabolic medication, are discussed. The importance of bone health in children, adolescents, and older adults is highlighted, emphasizing the impact of bone gain and loss across the lifespan. The presenters mention factors influencing peak bone mass, including genetics, hormones, nutrition, and physical activity. They discuss the FRACS tool for assessing fracture risk and conclude by emphasizing the need for screening and addressing bone health in athletes of all ages, with orthopedic surgeons playing a crucial role.

Asset Caption

Christina Morganti, MD

Keywords

bone health

osteoporosis

fragility fractures

orthopedics

athletes

fracture risk assessment