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Doctors explain how Lindsey Vonn can ski at Olympics without use of ACL

One short week after Lindsey Vonn crashed in Crans-Montana, Switzerland, and tore her left anterior cruciate ligament, she was tearing down the hill in Cortina d’Ampezzo, Italy, a light knee brace warping the fabric of her racing suit the only obvious sign of anything amiss. When she finished the training run Friday, clocking the third-fastest time for a U.S. woman on the day, she casually fist bumped an American teammate at the finish line.

She made the feat look effortless. Sports medicine experts can say it’s anything but.

“It’s atypical to be able to compete without an ACL, at anything, but especially at a high level like Lindsey Vonn’s going to compete at,” said Clint Soppe, a board certified orthopedic surgeon and sports medicine specialist at Cedars-Sinai. “So this is very surprising news to me as well.”

The ACL, which connects the shin bone to the femur, is a main stabilizing force in the knee and protects the lower leg from sliding forward. Straight-line movement doesn’t stress the major knee ligament and some day-to-day tasks such as walking are easily accomplished without an ACL. But what Vonn is doing is far from normal.

“If you add cutting, pivoting, changing directions, in 95% of humans, you need an ACL to do that,” said Kevin Farmer, an orthopedic surgeon and professor at the University of Florida’s department of orthopedics and sports medicine. “She’s obviously fallen into that 5%.”

Farmer calls the rare group “copers.” They overcome the lack of an ACL by strengthening and engaging other muscles. It’s primarily the hamstrings and quadriceps, but everything, including the glutes, calves, hips and core, counts.

Vonn will have had just nine days between the Olympic downhill race and her injury when she stands at the start gate Sunday. But the 41-year-old has had her whole career to develop the type of strength and control necessary to carry her through the Games without an ACL. She’s already done it before.

Lindsey Vonn concentrates ahead of a downhill training run in Cortina d'Ampezzo on Friday.

Lindsey Vonn concentrates ahead of a downhill training run in Cortina d’Ampezzo on Friday.

(Marco Trovati / Associated Press)

Vonn skied on a torn right ACL for more than a month until withdrawing just before the 2014 Sochi Olympics. In 2019, she won a bronze medal at world championships without a lateral collateral ligament and three tibial fractures in her left knee. She said this week that the same knee feels better than it did during that bronze medal run.

“She’s dealt with knee injuries in this knee before, so she’s been able to develop mechanisms and strategies,” Farmer said. “She probably doesn’t even realize that, but just from years of practicing with a knee that’s not normal, her body has developed mechanisms of firing patterns that allow her knee to have some inherent stability that most people don’t have.”

For athletes who suffer major injuries for the first time, pain often prevents them from firing their muscles, said Jason Zaremski, a nonoperative musculoskeletal and sports medicine physician and clinical professor at the University of Florida’s department of physical medicine and rehabilitation. But Vonn, whose injury history is almost as long as her resume, looked calm during training, her coach Aksel Lund Svindal told reporters in Cortina on Saturday.

So even if she’s one ACL short, Vonn’s team knows she has more than enough of the intangibles to get her not only down the mountain, but into medal contention.

“Her mental strength,” Svindal told reporters in Cortina on Saturday. “I think that’s why she has won as much as she has.”

Vonn completed her second training run Saturday with the third-fastest time before training was suspended after 21 athletes. She was 0.37 second behind compatriot Breezy Johnson, who is intimately familiar with what Vonn is attempting.

Johnson, a medal contender for the United States who led the second training run at 1 minute and 37.91 seconds, attempted to ski in Cortina without an ACL in 2022. She had one successful training run, but crashed on the second one, sustaining further injuries that forced her to withdraw from the Beijing Olympics.

Johnson, like many, gasped when she saw Vonn’s knee buckle slightly on a jump during training Saturday. She said coming off jumps on this course are especially difficult.

“There are, I think, more athletes that ski without ACLs and with knee damage than maybe talk about it,” Johnson said at a news conference from Cortina. “… I think that people often are unwilling to talk about it because of judgment from the media and the outside.”

Critics say Vonn is taking a spot from a healthy teammate or that she simply refuses to give up the sport for good. But Vonn has already come to terms with the end of her career. She said she came out of retirement with a partially replaced right knee simply wanting an opportunity to put the perfect bow on her ski racing career at a course she especially loves.

The stage is different, but the sentiment is familiar to Zaremski. The doctor has worked with high school athletes who beg for a chance to play a final game after suffering a torn ACL. Through bracing, taping and treatment, sometimes there are temporary fixes for the biggest moments.

“If we’re trying to get a huge event like the Olympics, I would never put anything past [Vonn],” Zaremski said. “She’s an amazing, once-in-a-generation athlete.”

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San Jose State violated Title IX with transgender player, DOE says

The U.S. Department of Education has given San José State 10 days to comply with a list of demands after finding that the university violated Title IX concerning a transgender volleyball player in 2024.

A federal investigation was launched into San José State a year ago after controversy over a transgender player marred the 2024 volleyball season. Four Mountain West Conference teams — Boise State, Wyoming, Utah State and Nevada-Reno — each chose to forfeit or cancel two conference matches to San José State. Boise State also forfeited its conference tournament semifinal match to the Spartans.

The transgender player, Blaire Fleming, was on the San José State roster for three seasons after transferring from Coastal Carolina, although opponents protested the player’s participation only in 2024.

In a news release Wednesday, the Education Department warned that San José State risks “imminent enforcement action” if it doesn’t voluntarily resolve the violations by taking the following actions, not all of which pertain solely to sports:

1) Issue a public statement that SJSU will adopt biology-based definitions of the words “male” and “female” and acknowledge that the sex of a human — male or female — is unchangeable.

2) Specify that SJSU will follow Title IX by separating sports and intimate facilities based on biological sex.

3) State that SJSU will not delegate its obligation to comply with Title IX to any external association or entity and will not contract with any entity that discriminates on the basis of sex.

4) Restore to female athletes all individual athletic records and titles misappropriated by male athletes competing in women’s categories, and issue a personalized letter of apology on behalf of SJSU to each female athlete for allowing her participation in athletics to be marred by sex discrimination.

5) Send a personalized apology to every woman who played in SJSU’s women’s indoor volleyball from 2022 to 2024, beach volleyball in 2023, and to any woman on a team that forfeited rather than compete against SJSU while a male student was on the roster — expressing sincere regret for placing female athletes in that position.

“SJSU caused significant harm to female athletes by allowing a male to compete on the women’s volleyball team — creating unfairness in competition, compromising safety, and denying women equal opportunities in athletics, including scholarships and playing time,” Kimberly Richey, Education Department assistant secretary for civil rights, said.

“Even worse, when female athletes spoke out, SJSU retaliated — ignoring sex-discrimination claims while subjecting one female SJSU athlete to a Title IX complaint for allegedly ‘misgendering’ the male athlete competing on a women’s team. This is unacceptable.”

San José State responded with a statement acknowledging that the Education Department had informed the university of its investigation and findings.

“The University is in the process of reviewing the Department’s findings and proposed resolution agreement,” the statement said. “We remain committed to providing a safe, respectful, and inclusive educational environment for all students while complying with applicable laws and regulations.”

In a New York Times profile, Fleming said she learned about transgender identity when she was in eighth grade. “It was a lightbulb moment,” she said. “I felt this huge relief and a weight off my shoulders. It made so much sense.”

With the support of her mother and stepfather, Fleming worked with a therapist and a doctor and started to socially and medically transition, according to the Times. When she joined the high school girls’ volleyball team, her coaches and teammates knew she was transgender and accepted her.

Fleming’s first two years at San José State were uneventful, but in 2024 co-captain Brooke Slusser joined lawsuits against the NCAA, the Mountain West Conference and representatives of San José State after alleging she shared hotel rooms and locker rooms with Fleming without being told she is transgender.

The Education Department also determined that Fleming and a Colorado State player conspired to spike Slusser in the face, although a Mountain West investigation found “insufficient evidence to corroborate the allegations of misconduct.” Slusser was not spiked in the face during the match.

President Trump signed an executive order a year ago designed to ban transgender athletes from competing on girls’ and women’s sports teams. The order stated that educational institutions and athletic associations may not ignore “fundamental biological truths between the two sexes.” The NCAA responded by banning transgender athletes.

The order, titled “Keeping Men Out of Women’s Sports,” gives federal agencies, including the Justice and Education departments, wide latitude to ensure entities that receive federal funding abide by Title IX in alignment with the Trump administration’s view, which interprets a person’s sex as the gender they were assigned at birth.

San José State has been in the federal government’s crosshairs ever since. If the university does not comply voluntarily to the actions listed by the government, it could face a Justice Department lawsuit and risk losing federal funding.

“We will not relent until SJSU is held to account for these abuses and commits to upholding Title IX to protect future athletes from the same indignities,” Richey said.

San José State was found in violation of Title IX in an unrelated case in 2021 and paid $1.6 million to more than a dozen female athletes after the Department of Justice found that the university failed to properly handle the students’ allegations of sexual abuse by a former athletic trainer.

The federal investigation found that San José State did not take adequate action in response to the athletes’ reports and retaliated against two employees who raised repeated concerns about Scott Shaw, the former director of sports medicine. Shaw was sentenced to 24 months in prison for unlawfully touching female student-athletes under the guise of providing medical treatment.

The current findings against San José State came two weeks after federal investigators announced that the California Community College Athletic Assn. and four other state colleges and school districts are the targets of a probe over whether their transgender participation policies violate Title IX.

The investigation targets a California Community College Athletic Assn. rule that allows transgender and nonbinary students to participate on women’s sports teams if the students have completed “at least one calendar year of testosterone suppression.”

Also, the Education Department’s Office of Civil Rights has launched 18 Title IX investigations into school districts across the United States on the heels of the Supreme Court hearing oral arguments on efforts to protect women’s and girls’ sports.

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Japanese American soldiers once branded ‘enemy aliens’ to be promoted posthumously

Seven Japanese American soldiers will be promoted to officer ranks in a solemn ceremony Monday, eight decades after they died fighting for the U.S. during World War II despite having been branded “enemy aliens.”

The seven were students at the University of Hawaii and cadets in the Reserve Officer Training Corps, on track to become Army officers, when Japan bombed Pearl Harbor on Dec. 7, 1941. They initially served in the Hawaii Territorial Guard, but soon after the attack the U.S. barred most Japanese Americans from service and deemed them enemy aliens.

The seven cadets instead worked with a civilian labor battalion known as “Varsity Victory Volunteers,” which performed tasks such as digging ditches and breaking rocks, until American leaders in early 1943 announced the formation of a segregated Japanese American regiment. The seven were among those who joined the unit, known as the 442nd Regimental Combat Team.

The combat team, along with the 100th battalion composed of mostly Japanese Americans from Hawaii, went on to become one of the most decorated units in U.S. history. Some of its soldiers fought for the Allies even as their relatives were detained in Japanese American internment camps because they were considered a public danger.

“It is important for us to really kind of give back and recognize our forefathers and these veterans that we stand on the shoulders of,” said 1st Sgt. Nakoa Hoe of the 100th Battalion, 442nd Regiment, what the unit is now known as in the Army Reserve. He noted the once-segregated unit now includes a “multitude of cultures.”

The seven “sacrificed so much at a challenging time when their loyalty to their country was questioned and they even had family members imprisoned,” he added.

The seven men — Daniel Betsui, Jenhatsu Chinen, Robert Murata, Grover Nagaji, Akio Nishikawa, Hiroichi Tomita and Howard Urabe — died fighting in Europe in 1944. All but Murata were killed during the campaign to liberate Italy from Nazi Germany. Murata was killed by an artillery shell in eastern France.

They will be promoted Monday to 2nd lieutenant, the rank they would have had if they completed the ROTC program. Relatives of at least some of the men are expected to attend the ceremony, scheduled to be held in a Honolulu park.

Even though Hawaii was not yet a state, the cadets were American citizens because they were born in Hawaii after its annexation in 1898.

“Fighting an injustice at home, these seven men later gave their lives fighting on the battlefields of Europe,” said a news release from U.S. Army Pacific. “They were unable to return to school and finish their commissioning efforts.”

Monday’s ceremony capping efforts to honor the men comes amid growing concern and criticism that President Donald Trump’s administration is whitewashing American history ahead of the nation celebrating 250 years of its independence, including last week’s removal of an exhibit on slavery at Philadelphia’s Independence National Historical Park.

Last year, the Pentagon said internet pages honoring a Black medal of honor winner and Japanese American service members were mistakenly taken down — but it staunchly defended its overall campaign to strip out content singling out the contributions by women and minority groups, which the Trump administration considers “DEI.”

Honoring the seven isn’t about DEI — diversity, equity and inclusion — but recognizing them for their merit and that “they served in the ultimate capacity of giving their lives for the country,” said Lt. Col. Jerrod Melander, who previously led the University of Hawaii’s ROTC program as professor of military science.

Melander said he launched the commissioning effort in 2023 during former President Joe Biden’s administration and that the promotions were approved last year during the Trump administration.

The university awarded the men posthumous degrees in 2012. Laura Lyons, interim vice provost for academic excellence at the University of Hawaii at Manoa, called their promotions especially important.

“Everyone’s contribution to and sacrifice for the ideals of freedom and the security of this country should matter and should be acknowledged, regardless of who they are,” Lyons said.

Kelleher writes for the Associated Press.

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