Seil R, Rupp S, Tempelhof S, Kohn D
Orthopaedic Clinic, University of Saarland Medical School, Homburg/Saar, Germany.
Am J Sports Med. 1998 Sep-Oct;26(5):681-7. doi: 10.1177/03635465980260051401.
One hundred eighty-six players of 16 teams in 2 male team handball senior divisions were observed prospectively for 1 season to study the injury incidence in relation to exposure in games and practices. Ninety-one injuries were recorded. Injury incidence was evaluated at 2.5 injuries per 1000 player-hours, with a significantly higher incidence in game injuries (14.3 injuries per 1000 game-hours) compared with practice injuries (0.6 injuries per 1000 practice-hours). Practice injury incidence was higher in the lower performance level group, and game injury incidence was higher in the high-level group. The upper extremity was involved in 37% of the injuries, and the lower extremity in 54%. The knee was the most commonly injured joint, followed by the finger, ankle, and shoulder. Knee injuries were the most severe injuries, and they were more frequent in high-level players. There was an increase in the severity of injury with respect to performance level. The injury mechanism revealed a high number of offensive injuries, one-third of them occurring during a counterattack. The injury pattern showed certain variations with respect to player position and performance level. Prophylactic equipment was used by a majority of players at the higher performance level.
对2个男子手球高级组别的16支球队的186名运动员进行了为期1个赛季的前瞻性观察，以研究与比赛和训练中的暴露相关的损伤发生率。记录了91起损伤。损伤发生率评估为每1000运动员小时2.5起损伤，比赛损伤的发生率（每1000比赛小时14.3起损伤）显著高于训练损伤（每1000训练小时0.6起损伤）。低水平表现组的训练损伤发生率较高，高水平组的比赛损伤发生率较高。上肢损伤占37%，下肢损伤占54%。膝盖是最常受伤的关节，其次是手指、脚踝和肩膀。膝盖损伤是最严重的损伤，在高水平运动员中更频繁。损伤严重程度随表现水平增加。损伤机制显示进攻性损伤数量较多，其中三分之一发生在反击过程中。损伤模式在球员位置和表现水平方面存在一定差异。大多数高水平运动员使用了预防性装备。
