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er risks for adverse effects, headless compression screws may be a preferable option for those requiring rapid return to sport or work. Basic Science Study, Biomechanics. Basic Science Study, Biomechanics. This biomechanical analysis of hysterectomy specimens assesses the forces associated with intrauterine device placement. These include compressive forces required to cause uterine perforation with two commonly available commercial intrauterine device placement instruments and a metal uterine sound. We obtained hysterectomy specimens at