Faculty of Sports Sciences, Ruhr University Bochum, Bochum, Germany.
VBG, German Statutory Accident Insurance for the Administrative Sector (Department of Sports Injury Prevention), Hamburg, Germany.
Knee Surg Sports Traumatol Arthrosc. 2018 Jul;26(7):1884-1891. doi: 10.1007/s00167-018-4851-4. Epub 2018 Feb 5.
Scientific injury data in men's professional team handball injuries are rare and even less scientific information exists on injury prevention. In 2011, Germany's national second team handball league was restructured by merging the existing two regional leagues into one league. This study evaluates the injury patterns in professional team handball and compares the injury rates between the first and second league before and after the restructure.
All players of Germany's national first and second men's team handball leagues have mandatory trauma insurance with the same insurance company. This retrospective cohort study analysed the injury data of three consecutive seasons 2010-2013 using standardized injury definitions.
1194 professional team handball players were included in this study. The majority of severe injuries affected the lower extremities, shoulders, and hands. The average injury incidence significantly differed between the first (4.9 injuries per 1000 h) and the second league (3.9 per 1000 h, p < 0.01). The injury incidence in the restructured second league had increased from 3.7 to 4.1 per 1000 h (p < 0.01) and prevalence from 67.1 to 79.3% (p < 0.001), thus almost to the same levels of the first league. The second league showed more time-loss injuries at all severity levels.
This study yielded a high injury incidence after the restructure of the national second team handball league and presents details on prevalence, incidence, and patterns of injury in professional men's team handball. This study is an important basis for developing injury prevention strategies that should focus on the shoulders, hands, and lower extremities and on reducing the number of matches and travel burden.
III.
男子职业手球运动中科学的损伤数据较为罕见，关于损伤预防的科学信息则更少。2011 年，德国国家男子二线手球联赛通过将现有的两个地区联赛合并为一个联赛进行了重组。本研究评估了职业手球运动员的损伤模式，并比较了重组前后一线和二线联赛的损伤发生率。
德国国家男子一线和二线手球联赛的所有球员都有相同保险公司提供的强制性创伤保险。本回顾性队列研究使用标准化损伤定义分析了 2010-2013 年三个连续赛季的损伤数据。
本研究共纳入 1194 名职业手球运动员。大多数严重损伤影响下肢、肩部和手部。一线和二线联赛的平均损伤发生率存在显著差异（分别为每 1000 小时 4.9 次和 3.9 次，p<0.01）。重组后的二线联赛的损伤发生率从每 1000 小时 3.7 次增加到 4.1 次（p<0.01），患病率从 67.1%增加到 79.3%（p<0.001），几乎与一线联赛相同。二线联赛所有严重程度的失时损伤都更多。
本研究在手球二线联赛重组后得出了较高的损伤发生率，并详细介绍了职业男子手球的损伤发生率、患病率和损伤模式。本研究为制定损伤预防策略提供了重要依据，这些策略应侧重于肩部、手部和下肢，并应减少比赛数量和减少旅行负担。
III。
