R. Seil et al., SPORTS INJURIES IN TEAM HANDBALL - A ONE-YEAR PROSPECTIVE-STUDY OF 16MENS SENIOR TEAMS OF A SUPERIOR NONPROFESSIONAL LEVEL, American journal of sports medicine, 26(5), 1998, pp. 681-687
One hundred eighty-six players of 16 teams in 2 male team handball sen
ior divisions were observed prospectively for 1 season to study the in
jury incidence in relation to exposure in games and practices. Ninety-
one injuries were recorded. Injury incidence was evaluated at 2.5 inju
ries per 1000 player-hours, with a significantly higher incidence in g
ame injuries (14.3 injuries per 1000 game-hours) compared with practic
e injuries (0.6 injuries per 1000 practice-hours). Practice injury inc
idence was higher in the lower performance level group, and game injur
y incidence was higher in the high-level group. The upper extremity wa
s involved in 37% of the injuries, and the lower extremity in 54%. The
knee was the most commonly injured joint, followed by the finger, ank
le, and shoulder. Knee injuries were the most severe injuries, and the
y were more frequent in high-level players. There was an increase in t
he severity of injury with respect to performance level. The injury me
chanism revealed a high number of offensive injuries, one-third of the
m occurring during a counterattack. The injury pattern showed certain
variations with respect to player position and performance level. Prop
hylactic equipment was used by a majority of players at the higher per
formance level.