Mónaco Mauricio, Rincón José A Gutiérrez, Ronsano Bruno J Montoro, Whiteley Rodney, Sanz-Lopez Fernando, Rodas Gil
National Sports Medicine Program (NSMP) Aspetar Orthopedics and Sports Medicine Hospital. Medical Services Qatar Handball Association.
Futbol Club Barcelona, Medical Department. Barcelona; Spain.
Biol Sport. 2019 Mar;36(1):67-74. doi: 10.5114/biolsport.2018.78908. Epub 2018 Oct 15.
The aim of this cohort study is to estimate the influence of position, category, and maturity status on the incidence and pattern of injury in handball players, across two seasons. Injury registration from 164 players-season (12-27 years) was conducted, and players were categorized into youth (133) and adults (31), and per position: 27 goalkeepers, 67 backs, 70 wings and pivots. Maturity status in youth players was also measured by testicular volume on clinical examination (32 immature, 101 mature). 190 injuries occurred during 34 221 hours of exposure. Injury incidence in youth was 6.0 per 1000 total hours [CI 95%, 4.8-7.2] (14.9 match [9.7-20.1] and 3.7 training hours [2.7-4.6]; n= 142 injuries), and in adults 6.5 per 1000 total hours [4.4-8.6] (22.2 match [8.8-35.6] and 3.0 training hours [1.3-4.6]; n=48 injuries). There were significant differences in knee (P=0.01) and cartilage injury (P=0.05) according to playing position. There were significant differences according to age category in ankle (P=0.03), head (P=0.01), thigh (P=0.05) and muscular injury (P= 0.02), and apophysitis (P=0.04) for biological maturity state. Adult handball players had more ankle and muscle injuries than youths. Pivot and wings (2 line) had more knee and cartilage problems. A higher incidence of apophysitis was found in immature youth players.
这项队列研究的目的是评估在两个赛季中，位置、类别和成熟状态对手球运动员受伤发生率和受伤类型的影响。对164名球员-赛季（12至27岁）进行了伤病登记，球员被分为青年组（133人）和成年组（31人），并按位置划分：27名守门员、67名后卫、70名边锋和中锋。还通过临床检查时的睾丸体积来测量青年球员的成熟状态（32名未成熟，101名成熟）。在34221小时的暴露时间内发生了190起伤病。青年组的伤病发生率为每1000总小时6.0起[95%置信区间，4.8 - 7.2]（比赛中为14.9起[9.7 - 20.1]，训练时为3.7起[2.7 - 4.6]；n = 142起伤病），成年组为每1000总小时6.5起[4.4 - 8.6]（比赛中为22.2起[8.8 - 35.6]，训练时为3.0起[1.3 - 4.6]；n = 48起伤病）。根据比赛位置，膝盖（P = 0.01）和软骨损伤（P = 0.05）存在显著差异。根据年龄类别，脚踝（P = 0.03）、头部（P = 0.01）、大腿（P = 0.05）和肌肉损伤（P = 0.02）以及生物成熟状态的骨突炎（P = 0.04）存在显著差异。成年手球运动员比青年球员有更多的脚踝和肌肉损伤。中锋和边锋（二线）有更多的膝盖和软骨问题。在未成熟的青年球员中发现骨突炎的发生率更高。
