Asai Kazuki, Nakase Junsuke, Shimozaki Kengo, Toyooka Kazu, Kitaoka Katsuhiko, Tsuchiya Hiroyuki
Department of Orthopaedic Surgery, Graduate School of Medical Science, Kanazawa University, 13-1 Takara-machi, Kanazawa-city, 920-8641, Japan.
Department of Orthopaedic Surgery, Graduate School of Medical Science, Kanazawa University, 13-1 Takara-machi, Kanazawa-city, 920-8641, Japan.
J Orthop Sci. 2020 Jul;25(4):677-681. doi: 10.1016/j.jos.2019.06.011. Epub 2019 Jul 4.
An updated injury surveillance of young handball players is needed because of the increased risk of injury in recent handball games with increased intensity. This study examined acute injuries in young handball players during games.
We retrospectively assessed the injuries occurring during 6 national competitions, including 550 games from 2013 to 2018, held in March of each year. All players were 13 or 14 years old.
In total, 169 injuries were reported. The number of match injuries per 1000 player hours was 26.5. The injury incidence in boys was higher than that in girls (p = 0.001). No significant differences were found in injury incidence according to the position and date during the tournament (p = 0.108 and 0.483, respectively). Of all injuries, 43.2% were in the lower extremities and 20.7% affected the upper extremities. Most injuries occurred in the head/face (n = 53, 31.4%), followed by the ankle/foot (n = 41, 24.3%), knee (n = 23, 13.6%), and wrist/hand (n = 22, 13%). The most common injury type was sprain (n = 64, 37.9%), followed by contusion (n = 50, 30.0%) and wound (n = 35, 20.7%). In field players, ankle sprain was the most frequent diagnosis, followed by head/face wound and contusion. In contrast, contusion was the main cause of injury in goalkeepers, followed by wound on the head/face.
Preventive measures focussing on sprains in the lower extremity and improved skill in ball-handling technique should be considered to prevent head/face and wrist/hand injuries, especially in boys.
Retrospective cohort study.
由于近年来手球比赛强度增加,受伤风险上升,因此需要对年轻手球运动员进行最新的损伤监测。本研究调查了年轻手球运动员在比赛期间的急性损伤情况。
我们回顾性评估了每年3月举行的6项全国性比赛期间发生的损伤,包括2013年至2018年的550场比赛。所有运动员年龄均为13或14岁。
共报告了169例损伤。每1000运动员小时的比赛损伤数为26.5。男孩的损伤发生率高于女孩(p = 0.001)。根据比赛期间的位置和日期,损伤发生率无显著差异(分别为p = 0.108和0.483)。在所有损伤中,43.2%发生在下肢,20.7%影响上肢。大多数损伤发生在头部/面部(n = 53,31.4%),其次是脚踝/足部(n = 41,24.3%)、膝盖(n = 23,13.6%)和手腕/手部(n = 22,13%)。最常见的损伤类型是扭伤(n = 64,37.9%),其次是挫伤(n = 50,30.0%)和伤口(n = 35,20.7%)。在场上球员中,脚踝扭伤是最常见的诊断,其次是头部/面部伤口和挫伤。相比之下,挫伤是守门员受伤的主要原因,其次是头部/面部伤口。
应考虑采取针对下肢扭伤的预防措施,并提高控球技术,以预防头部/面部和手腕/手部损伤,尤其是男孩。
回顾性队列研究。