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The aim of the study was to record shoulder and trunk stability of elite female handball players and to investigate their effect on throwing velocity and accuracy. 151 female handball players (9 teams in total) from the Hungarian first league participated in a mid-season conditional survey. The study included tests of trunk and shoulder stability, and measurements of factors affecting shoulder stability, as well as throwing speed and throwing accuracy. After the conditional survey, 18 players were selected for the intervention group (IG) and 18 players for the control group (CG). Significant relationships were found between the medial stability of the shoulder joint (Y-balance) and throwing accuracy (upper right corner) (r = 0.766; p < 0.001), throwing accuracy (upper left corner) (r = 0.729; p < 0.001), total throwing accuracy (r = 0.907; p < 0.001). The IG showed significant improvement in trunk stability (p < 0.001), shoulder joint stability (p < 0.001), throwing velocity (p < 0.001), and throwing accuracy (p = 0.002), compared to the CG. These findings support the idea that trunk and shoulder stability are related to throwing performance of female handball players. Measuring and training these aforementioned factors, particularly medial shoulder stability, may be a valuable adjunct to improving throwing accuracy and throwing velocity. [ABSTRACT FROM AUTHOR]

The surgical treatment of the ACL-deficient knee has been controversial among orthopaedic surgeons. The success of the surgery depends on several factors including the timing of the surgery, graft choice, [...], Background: The security of the graft fixation is an important factor of anterior cruciate ligament reconstruction, especially in the early postoperative period. Hypothesis: The femoral press-fit fixation technique is a safe, alternative technique for the fixation of the bone-patellar tendon-bone graft. Study Design: Case series; Level of evidence, 4. Methods: Between January 1, 1998, and June 30, 2002, 285 patients, with a mean age of 29.1 years, underwent operation and observation in our department. All patients had arthroscopic anterior cruciate ligament reconstruction using bone-patellar tendon-bone graft with femoral press-fit and tibial interference screw fixation. The mean follow-up period was 35.8 months (range, 24-77 months). During each patient's evaluation, a physical examination, a subjective evaluation, the International Knee Documentation Committee and Lysholm scores, KT-1000 arthrometer testing, and radiological evaluation were performed. The paired Student t test or [chi square] test was used for statistical analysis. Results: According to the International Knee Documentation Committee score, 241 patients (85%) had good (46 normal and 195 nearly normal) results, whereas 39 patients had abnormal and 5 patients had severely abnormal overall results. The preoperative mean Lysholm score was 63.5 ± 12.7 points. At the final examination, the mean value was 93.5 ± 7.8 points (P < .01). One hundred ninety-seven athletes could return to their previous sports activity level, whereas 13 patients gave up their sports career. The KT-1000 arthrometer results showed a side-to-side difference of 1.91 ± 2.1 mm at the maximum manual strength tests. Conclusion: The femoral press-fit fixation is an alternative fixation method for the bone-patellar tendon-bone graft and provides good stability for the anterior cruciate ligament reconstruction. The use of press-fit fixation technique avoids most interference screw or other hardware-induced complications at the femoral side. Keywords; ACL reconstruction; patellar tendon; press-fit fixation; follow-up study

Dear Editor: We read with great interest 'Recalcitrant Patellar Tendinosis in Elite Athletes: Surgical Treatment in Conjunction With Aggressive Postoperative Rehabilitation,' published in the July 2006 issue (pages 1141-1146), and [...]