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Play ball!

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Baseball↗

Play ball!

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Baseball↗

Play ball!

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Baseball↗

A controlled study on batted ball speed and available pitcher reaction time in slowpitch softball.

OBJECTIVES: To investigate safety risks in slowpitch softball by conducting laboratory and experimental studies on the performance of high tech softball bats with polyurethane softballs. To compare the results with the recommended safety standards. METHODS: ASTM standard compression testing of seven softball models was conducted. Using these seven softball models, bat/ball impact testing was performed using seven adult male softball players and six high tech softball bat models to determine mean batted ball speeds. Over 500 bat/ball impact measurements were recorded and analysed. Available pitcher reaction time was calculated from the mean batted ball speed measurements. RESULTS: According to the United States Specialty Sports Association and the Amateur Softball Association, the maximum initial batted ball speed should be 137.2 km/h, which corresponds to a minimum pitcher reaction time of 0.420 second. These experiments produced mean batted ball speeds of 134.0-159.7 km/h, which correspond to available pitcher reaction times of 0.409-0.361 second. CONCLUSION: The use of high tech softball bats with polyurethane softballs can result in batted ball speeds that exceed the recommended safety limits, which correspond to decreased available pitcher reaction times.

Athletic Injuries↗

Thrower's fracture of the humerus with radial nerve palsy: an unfamiliar softball injury.

A fracture of the normal humerus in a healthy young adult most commonly results from significant direct trauma. Throwing sports have become increasingly popular outside of North America and bring with them a novel injury mechanism for clinicians. A 21 year old woman sustained a "thrower's fracture" of the distal humerus and radial nerve palsy while throwing a softball. She was treated by internal fixation. Her fracture united, and radial nerve neurapraxia resolved after 8 weeks. Clinicians should be aware of this entity so that prodromal symptoms can be recognised early and thrower's fractures are not investigated unnecessarily.

Adult↗

Evolution of the treatment options of ulnar collateral ligament injuries of the elbow.

Ulnar collateral ligament (UCL) insufficiency is potentially a career threatening, or even a career ending, injury, particularly in overhead throwing athletes. The evolution of treating modalities provides afflicted athletes with the opportunity to avoid premature retirement. There have been several clinical and basic science research efforts which have investigated the pathophysiology of UCL disruption, the biomechanics specific to overhead throwing, and the various types of treatment modalities. UCL reconstruction is currently the most commonly performed surgical treatment option. An in depth analysis of the present treatment options, both non-operative and operative, as well as their respective results and biomechanical evaluation, is lacking in the literature to date. This article provides a comprehensive current review and comparative analysis of these modalities. Over the last 30 years there has been an evolution of the original UCL reconstruction. Yet, despite the variability in modifications, such as the docking technique, interference screw fixation, and use of suture anchors, the unifying concepts of UCL reconstruction are that decreased dissection of the flexor-pronator mass and decreased handling of the ulnar nerve leads to improved outcomes.

Adolescent↗

Two cases of peroneus brevis tendon tear.

A longitudinal tear of the peroneal tendon is thought to be the result of repetitive peroneal subluxation. However, this report documents two cases of longitudinal split of the peroneus brevis tendon that had no peroneal tendon subluxation. Primary suture was performed. Subluxation of the peroneal tendons was not identified surgically in either case.

Adolescent↗

Timing finger opening in overarm throwing based on a spatial representation of hand path.

Previous studies on overarm throwing have suggested that throwing accuracy depends on a precise central timing mechanism. In the present study, we investigated an alternative hypothesis: that central control of finger opening is based on an internal positional representation of handpath. Angular positions of each segment of the middle finger, thumb, and arm were recorded with the search-coil technique as subjects made slow, medium, and fast throws at a target 3.1 m away. Onset of ball release from the hand was strongly correlated with extension at the proximal interphalangeal joint (PIJ). The velocity of this finger joint opening varied with the speed of the throw. In agreement with the hypothesis, at a fixed hand angular position in space, there was no difference across subjects in the amplitude of extension at the PIJ for throws of different speeds. That is, for these two parameters, a fast throw was the same as a slow throw that was sped-up. This occurred irrespective of whether the trunk was constrained (sitting throws) or unconstrained (standing throws). No equivalent relation was found between extension at the PIJ and elbow extension. These findings support the idea that precisely timed finger opening in overarm throwing depends, not on a central timing controller that triggers a step-like (ballistic) finger opening at the right moment in throws of different speeds, but on a central spatial controller that matches angular positions of finger opening to the intended handpath.

Adult↗