Osteoporosis is the final and most lasting link of the
Triad, difficult to treat and with sufferers particularly
prone to stress fractures.
The former dancer’s severe menstrual irregularity along
with an acute case of anorexia at age 11 has cost her 20
percent of the bone density in her spine, deeming her osteopenic,
an earlier phase of osteoporosis. "Nobody ever tested my
bone density," she lamented.
Studies show that birth control pills with certain levels
of estrogen can stop bone loss in younger women. This type
of hormone replacement therapy is commonly prescribed.
According to the National
Osteoporosis Foundation, until 30 years of age, women
build and store bone. So what happens when women in this
age group are losing bone?
Stress fractures are almost always a result. David Tagle,
a physical therapist at the NYU Health Center, says that
stress fractures are "a repetitive injury."
"They usually occur at the feet," he said, adding that
the fracture usually heals on its own in six weeks.
"They never happen the first time you go running, for
example," Tagle said, explaining that the injury can mean
a greater risk of athletes developing osteoporosis.
ACL: Agony
"It happened at 2:30 p.m. and the snow was getting very
soft. The fall was unspectacular but the knee went one way
and the skis went the other," said Joanne, a 49-year-old
skier from Houston who tore her ACL on March 5.
"After walking it off a bit I tried to ski again," she
recalled. "Bad mistake, I fell again as the knee was mush."
Joanne ended up in the operating room a few days later,
on her 49th birthday.
Beyond the Triad, knee injuries also pose an enormous
problem for women athletes, who are six times more likely
to have them than other women. The ACL, or anterior cruciate
ligament, puts nearly 3,000 varsity collegiate athletes
on the disabled list every year.
"ACL is a non-contact injury. It just happens to an athlete
during an event," said Otis, adding that basketball and
soccer pose higher risks for ACL tears. "Women are more
susceptible to it because of their structure, called the
‘Q’ angle, the angle measured at the knee," said Price,
amid the shouts and whistles of Coles on a Friday afternoon.
"Females have greater Q angles than males, because of their
hip structures."
Beyond the triad,
knee injuries also pose an enormous problem for women
athletes, who are six times more likely to have them
than other women. |
Dari Magyar, a point-guard for the NYU women’s basketball
team, tore her ACL during the last game of her high school
junior season. "I was dribbling up the court and I planted
a cross-over," she said. "That’s when it tore," an injury
that cost her team the playoff game and sent her to the
operating room.
"They replaced the torn ligament with the patella tendon,"
recalled Magyar, adding that rehabilitation with a physical
therapist took nearly four and a half months.
In 1999, Rebecca Lobo of the WNBA New York Liberty severed
her ACL ligament during the first game of the season. A
few months after surgery, she reinjured the same knee, putting
her on the disabled list for the following season.
Tagle said that female hormones such as oxytocin and relaxin,
produced by women during menstruation and pregnancy, make
ligaments more susceptible to ACL tears.
ACL sufferers can choose between two types of surgery:
an allograph, where an ACL is taken from a cadaver, and
an autograph, where bone from the same person’s body helps
to restore the torn ligament.
"The ACL maintains the integrity of the knee," said Tagle.
"Once the ACL is gone, you start feeling unstable." He usually
recommends that athletic patients take a year off from sports
after surgery. "I would say there is a 98 percent chance
of the knee giving out [again] if a 20-year-old female athlete
tears her ACL," he said.
Albert, the UCLA dietician, believes that coaches can
sometimes have a negative influence on athletes. "The [athletes]
that are the most disciplined, the ones doing the most harm
to their bodies, are the ones who are the most rewarded
by their coaches," she said.
Bushman thinks the success of female athletes is bittersweet.
"Isn’t it a wonder how we’ve moved ahead? But maybe we’ve
moved ahead so quickly that problems are now popping up
because of it."