Resch Tobias, Krutsch Werner, Weber Johannes, Krueckel Jonas, Hartz Frederik, Alt Volker, Achenbach Leonard, Szymski Dominik
Department of Trauma Surgery, Klinikum rechts der Isar Technical University of Munich Munich Germany.
Department of Trauma Surgery University Medical Center Regensburg Regensburg Germany.
J Exp Orthop. 2024 Dec 30;12(1):e70132. doi: 10.1002/jeo2.70132. eCollection 2025 Jan.
The purpose of this study was to generate knowledge about the epidemiology and risk factors for anterior cruciate ligament (ACL) injuries in handball. It was hypothesised that the incidence of ACL injuries is high and comparable to other pivoting sports like football.
This study is based on the prospective 'ACL registry in German Sports' implemented in the 2016-2017 season. Professional (first and second leagues) male handball players were analysed regarding the incidence and risk factors for ACL injuries. Injuries were registered according to the direct reports of the injured players to the study office and double-checked via media analysis. After injury registration, the players received a standardised questionnaire. Data were analysed from the 2016-2017 to the 2022-2023 season.
A total of 84 ACL injuries were registered. 46.3% of ACL injuries were re-ruptures. This represents a total incidence of 0.044 ACL injuries per 1000 h of exposure in training and matches per player over the study period. An increased incidence rate of 0.064/1000 h in the first league compared to 0.031/1000 h in the second league was reported ( ˂ 0.001). The mean number of injuries in the first division was 8.3, and in the second division, 6.6 ACL ruptures per season. Risk factors for ACL injury include previous knee injury and increased match exposure.
The incidence of ACL injuries in professional handball is high and comparable to football with an increased risk in the first league compared to the second league in Germany. There was a high incidence of re-injury. Other risk factors for ACL injuries include previous injuries to the affected knee in general as well as increased match exposure.
Level II prospective cohort study.
本研究旨在获取有关手球运动中前交叉韧带（ACL）损伤的流行病学和风险因素的知识。研究假设是ACL损伤的发生率很高，且与足球等其他旋转运动相当。
本研究基于2016 - 2017赛季实施的前瞻性“德国体育ACL登记处”。对职业（第一和第二联赛）男子手球运动员的ACL损伤发生率和风险因素进行了分析。损伤情况根据受伤球员向研究办公室的直接报告进行登记，并通过媒体分析进行双重核查。受伤登记后，球员会收到一份标准化问卷。分析了2016 - 2017赛季至2022 - 2023赛季的数据。
共登记了84例ACL损伤。46.3%的ACL损伤为再次断裂。在研究期间，每位球员在训练和比赛中的每1000小时暴露时间内，ACL损伤的总发生率为0.044例。报告显示，第一联赛的发生率为0.064/1000小时，高于第二联赛的0.031/1000小时（˂0.001）。顶级联赛中平均每个赛季的损伤数为8.3例，二级联赛中为6.6例ACL断裂。ACL损伤的风险因素包括既往膝关节损伤和比赛暴露增加。
职业手球运动中ACL损伤的发生率很高，与足球相当，在德国第一联赛中的风险高于第二联赛。再次受伤的发生率很高。ACL损伤的其他风险因素包括受影响膝关节的既往损伤以及比赛暴露增加。
II级前瞻性队列研究。
