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Inside The July 2008 Issue 6 Wow! I am still trying to catch my breath after the most stunning Wimbledon in memory. The Williams Sisters again defied many naysayers to play each other in the finals. Who will ever forget what may be considered the best tennis match in the history of tennis between Roger Federer and Rafael Nadal. With Nadal s victory, there is a general sense of a Changing of the guard in professional tennis. A similar changing of the guard is happening with our Roger Federer. Babette Pluim is stepping down as the editor of the Journal of Medicine and Science for the last thirteen years. (When Rafeal Nadal was only nine years old!). She has done tremendous work to bring this journal to its excellent quality, and also to propel the STMS to its valued source of tennis medicine literature and knowledge. She has numerous professional obligations, and this reign could not go on forever. We are currently in search for recruitment for a new editor, and we expect no drop-off in this quality with our next issue. Babette will continue to be one of our most valued members, and a wonderful source for advice and guidance for this organization. This issue of the newsletter also has an interesting research abstract discussing the efficacy of the hawkeye electronic line system. Who is better, the player or the line judge? Which line calls are more difficult to make? Additionally, there is a Argentine Tennis Association symposium report. Lastly, we are pleased with the number of original research abstracts we have received for the STMS North American Regional conference in Cincinnati during the Master Series event. The Final Deadline will be July 15 th, and you can register before this date by going to www.stms.nl. Thanks again for those who have referred other tennis-specific organizations to us, as we are realizing more how valuable the information is that many of you provide to us with your knowledge and research experience in tennis medicine. Have a great summer, and enjoy! Neeru Jayanthi, MD EDITOR-IN-CHIEF Special Points of Interest Conference Report Abstract Discussion In The World of Tennis Conference Announcements Conference Outlook Membership Benefits

C onference Report Argentine Tennis Association Medical Department Symposium Social Drugs in Sports How They Affect Players Health and Performance Why They are the #1 Cause of Doping Offences in Tennis The Sports Medicine Department of the Argentine Tennis Association organised a symposium Social Drugs in Sports in conjunction with the National Drug Prevention Department (SEDRONAR). The meeting was held in Buenos Aires on June 26 th, in occasion of the International Day Against Drug Abuse and Illicit Trafficking (United Nations). The symposium was opened by Dr. José Ramón Granero (SEDRONAR Director) remarking the high importance of sports practicing and communication for drug abuse prevention in young people. Afterwards, Dr. Heriberto Raggio (President Antidoping Commission AAT) emphasized the commitment of the Argentine Tennis Association against doping and outlined the objectives and recent achievements of the Program. Dr. Javier Maquirriain (Medical Director of the Argentine Tennis Association) closed the first session through a presentation analyzing the argentine doping cases and presenting a scientific study which shows that social drugs are the first cause of doping offences in the professional tennis. His lecture finished claiming for an integral human approach for development junior tennis players. The second session started with Current Strategies for Social Drug Prevention by Karina Casal (Prevention Dept. SEDRONAR) followed by Early Detection of Drug Abuse: The Role of Parents and Coaches by Dr. Jorge Rocco (Psychiatrist SEDRONAR). Both presentations based on anthropological view, captured the attention of the numerous audience. Dr. Carlos Dángelo (Antidoping Advisor, SEDRONAR) presented the Ethical Issues of Doping and an interesting debate between speakers and attendants closed the educational meeting. Finally, Dr. Carlos Dángelo was honoured by the AAT Medical Dept. for his ethical practice, scientific contribution and tireless effort against doping. This meeting also served to sign a cooperation contract between the Argentine Tennis Association and the SEDRONAR in order to enhance prevention activities against doping and social drug abuse in tennis players. picture: Dr. Jose R. Granero, Dr. Mario Fiorentino, Dr. Carlos Dangelo and Dr. Javier Maquirriain during the symposium. Sponsorship: the Symposium was supported by Tafirol (Sidus Laboratory), Grip (Tennis Magazine) and Tennis Point Academy. Page 2 Page 2

C onference Report 2 nd World Congress on Sports Injury Prevention Well above the polar circle, in Tromsø, Norway, the Second World Congress on Sports Injury Prevention started June the 26 th. After the success of the first sports injury prevention congress, which was also in Norway, famous scientists and clinicians again gathered. Amongst them were Michael Kjaer, Karim Kahn, Roald Bahr, John Orchard, Martin Schwellnus, Babette Pluim and Per Renström, who immediately guaranteed high quality of the congress in advance. From all over to the world participants traveled north to Norway to follow the congress up close for three days. The organization was pleased to see that bunches of abstracts were submitted, so many that about 100 (!) posters could be presented. Thanks to Babette Pluim and Per Renström a special session about the injury prevention of tennis injuries could also be presented. The first day of the congress the focus was mainly on the molecular basis of tendinopathy and on prevention of skiing and rugby injuries. The long but interesting day ended with a bus tour through mountains still covered with snow and beautiful lakes, and dropped the congress participants in a restaurant, which was so cold that most of them kept their jackets on, while enjoying the great local fish diner. On the next day of the congress the attention shifted to preventative measures in soccer and in the afternoon an excellent session on prevention of shoulder problems was presented, with a role for Ann Cools (Belgium) and Mark Hutchinson (USA). The tennis session took place on the last day of the congress and a large group of interested spectators was present. Per Renström introduced the speakers to the audience and Babette Pluim presented first. Her focus was on epidemiology of tennis related injuries and on risk factors. After her Todd Ellenbecker talked about the contents of the USTA high performance profile and later on entered the stage for a second time discussing preventative shoulder exercises. The prevention of patellar tendinopathy was presented by Anna Frohm (Sweden), who talked about her study on the success of non-decline board eccentric loading of the patellar tendon. Michael Turner delivered laughs to every corner of the huge and filled Tromsösalen while discussing the prevalence and prevention of spondylolysis in young tennis players. Only a coffee break could make the vast audience crowd a little more quiet. Maarten Moen (Netherlands) presented on the prevention of lower extremity stress fractures, which are, as we know from the article by Maquirrian and Ghisi, common in professional tennis players. Finally, Christian Zwiers (Netherlands) discussed the prevention of groin injuries and mixed this with his experience as a physical therapist on the ATP tour. According to the amount of spectators and the questions that followed this special tennis session, we could only conclude that this session was one of great success. During the congress Michael Turner and Babette Pluim were also co-chair in a workshop about the Athletic Logic injury registration system. At the end of the congress, the speakers were rewarded with a piano and violin concert in the beautiful Arctic Cathedral and were spoiled with a tasty banquet, where most of them left the whale steak untouched. Submitted by: Maarten Moen Page 3 Page 3

A bstract Discussion Maarten Moen Perceptual Uncertainty and Line-Call Challenges in Professional Tennis Mother G. Proc. R. Soc. B. 2008; 275: 1645-1651 Background: Since the existence of the Hawk-eye ball tracking system it is made possible to judge line-judges. Research showed that repeated presentation of the same stimulus will never produce an identical neural response, so errors are possible. Research Question: To what extent are decisions by line judges and players correct according to Hawk-eye? Methodology: Tournaments studied: ATP tournaments between 2006 and 2007 in; Beijing, Cincinnati, Indian Wells, Indianapolis, Los Angeles, Madrid, Miami, Moscow, New Haven, Paris, Rotterdam, Shanghai, Toronto and Washington. Experimental procedure: Outcomes of all challenges during 15 ATP tournaments were analysed and the calls by the linesmen were compared to the Hawk-eye findings. Measure of outcome: The average distance between actual bounce on Hawk-eye and percepted bounce was assessed. Main finding/s: Graph 1: Estimated space for uncertainty distribution per bounce. 50 45 40 Uncertainty in mm 35 30 25 20 15 Player Line-judge 10 5 0 Baseline / serviceline Sideline Centreline Additionally, for the total number of challenges, line-judges were right in 60, 7% of the cases. Conclusion/s: Bounces near the baseline or service line are more difficult to judge for both player and line-judge, than those near the side and centrelines. In case of a challenge by a player, the line-judge decided right in 60, 7% of the calls. Page 4

In The World of Tennis Wimbledon 2008 Epic Upsets & Winners!! Wimbledon 2008 Highlights Rafael Nadal won the Men's Singles title at Wimbledon! It was an epic win against Roger Federer. Rafeal Nadal also won the French Open a few weeks ago (also against Federer). This is the first time since 1980 that someone has won the French Open and Wimbledon title back to back. Venus Williams wins Ladies' Singles, her fifth Wimbledon title. The Williams sisters' duel drew the highest preliminary television ratings for a women's Wimbledon final in three years. Wimbledon 2008 Winners Men s singles Rafael Nadal Ladies singles Venus Williams Men s doubles Daniel Nestor and Nenad Zimonjic Ladies doubles Serena Williams and Venus Williams Mixed doubles Samantha Stosur and Bob Bryan Page 5

C onference Annoucements A Special Invite Moroe BEPPU, MD Congress Organizer Chairman & Professor, Department of Orthopaedic Surgery, St. Mariannna University School of Medicine, Kawasaki, Japan It is my pleasure as Congress Organizer for the 10th World Congress of Society for Tennis Medicine and Science, to be held from October 2-4, 2008, to invite you to what is becoming one of the major scientific events aimed at increasing the knowledge and therapeutic options involved in tennis medicine. To be held for the first time in Tokyo, Japan, this highlights the increasing prominence of tennis and related sports medicine throughout Asia. I am pleased to be able to inform you that plans are well underway for the meeting, with a wide range of scientific and social events scheduled. The scientific program includes invited lectures and plenary sessions as well as a range of symposia, involving many leading international and Japanese orthopaedic and sports medicine specialists. In addition there will be free papers and poster presentations aimed at highlighting the most pertinent and up-to-date scientific and training issues affecting this sport. The Organizing Committee has chosen topics of current interest, focusing on the latest concepts relating to bone and joint injuries associated with tennis. In addition principles of injury prevention and rehabilitation, an update on tennis radiology, as well as important sports medicine topics including strength and general training and physiotherapy will be of interest to all medical and allied health professionals working in this field. We are fortunate that the AIG Open 2008 will be held in Tokyo at the same time, allowing participants to directly observe the highest levels of the sport. I urge all interested in sports medicine, particularly tennis, to attend what is sure to be an extremely informative and enjoyable event. URL http://www.icstms2008.jp e-mail office@icstms2008.jp FINAL REGISTRATION: July 15th STMS North American Sectional Meeting (in conjunction with Cincinnati's Master Series Event) Cincinnati, Ohio - USA 1-2 August, 2008 REGISTRATION & CONTACTS Pre-registration is required for this conference. As space is limited, your response is requested no later than JULY 15 th to secure your reservation and availability of course material for this conference. Abstract Submission Neeru Jayanthi, MD at njayant@lumc.edu Conference Registration Richelle Gwin at rgwin@wellingtonortho.com or 513-554-8091 Hotel Reservation Matt Faig at www.cincytennis.com or 513-665-3849 CONFERENCE LOCATION Western & Southern Financial Group Masters Open - ATP Masters Series Event Lindner Family Tennis Center in Mason, Ohio Pavilion Suite (center court) Click Here to Download Program Schedule & Register! Page 6

C ONFERENCE OUTLOOK 1-2 August STMS North American Sectional Meeting, Cincinnati, Ohio - USA in conjunction with Cincinnati's Master Series Event Society for Tennis Medicine and Science http://www.stms.nl 2-4 October 10 th STMS World Congress, Tokyo, Japan Society for Tennis Medicine and Science http://www.icstms2008.jp/1stan.pdf 18-23 November 30 th FIMS World Congress, Barcelona, Spain International Federation of Sports Medicine http://www.femede.es/documentos/programa_barna_03-10-07_english.pdf MISSION STATEMENT To disseminate current and practical tennis-related medical and scientific information to all our stakeholders (players, coaches, health care professionals, scientists, and tennis organizations) in order to optimize the health and performance of tennis players world-wide. Page 7

Membership Benefits!! What you get with STMS membership (One Year US $175 - Three Years US $500)* Subscription to three issues per year of the Journal Medicine and Science in Tennis Free online access to all editions of the Journal Subscription to six issues per year of the STMS E-mail Newsletter Discounts to STMS Conferences Access to the dedicated Members Area STMS voting rights** * Students pay a discounted membership fee (US$ 100) ** Non-Students Only Questions? Contact the STMS Membership Office by e-mail at membership@stms.nl Join us now!!! Page 8