Biology of Sport
eISSN: 2083-1862
ISSN: 0860-021X
Biology of Sport
Current Issue Manuscripts accepted About the journal Editorial board Abstracting and indexing Archive Subscription Contact Instructions for authors Journal's Reviewers Special Information
SCImago Journal & Country Rank
vol. 36
Original paper

Injury incidence and injury patterns by category, player position, and maturation in elite male handball elite players

Mauricio Mónaco, José A. Gutiérrez Rincón, Bruno J. Montoro Ronsano, Rodney Whiteley, Fernando Sanz-Lopez, Gil Rodas

Biol Sport. 2019;36(1):67–74
Online publish date: 2018/10/23
View full text
Get citation
JabRef, Mendeley
Papers, Reference Manager, RefWorks, Zotero
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 per 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. Backs and centre backs (2nd line) had more knee and cartilage problems. A higher incidence of apophysitis was found in immature youth players.

High performance, Youth handball, Maturity status, Epidemiology, Team sports

Junge A, Engebretsen L, Mountjoy ML, Alonso JM, Renstrom PA, Aubry MJ, et al. Sports injuries during the Summer Olympic Games 2008. Am J Sports Med. 2009;37(11):2165-72.
Yde J, Nielsen AB. Sports injuries in adolescents’ ball games: soccer, handball and basketball. Br J Sports Med. 1990;24(1):51-4.
Seil R, Rupp S, Tempelhof S, Kohn D. Sports injuries in team handball. A one-year prospective study of sixteen men’s senior teams of a superior nonprofessional level. Am J Sports Med.
Bere T, Alonso JM, Wangensteen A, Bakken A, Eirale C, Dijkstra HP, et al. Injury and illness surveillance during the 24th Men’s Handball World Championship 2015 in Qatar. Br J Sports Med. 2015;49(17):1151-6.
Moller M, Nielsen RO, Attermann J, Wedderkopp N, Lind M, Sorensen H, et al. Handball load and shoulder injury rate: a 31-week cohort study of 679 elite youth handball players. Br J Sports Med. 2017;51(4):231-7.
Olsen OE, Myklebust G, Engebretsen L, Bahr R. Injury pattern in youth team handball: a comparison of two prospective registration methods. Scand J Med Sci Sports. 2006;16(6):426-32.
Mónaco M, Rincón JAG, Ronsano JBM, Til L, Drobnic F, Vilardaga JN, et al. Epidemiología lesional del balonmano de elite: estudio retrospectivo en equipos profesional y formativo de un mismo club. Apunts Medicina de l’Esport. 2014;49(181):11-9.
Mónaco M, Rincón JAG, Ronsano JBM, Drobnic F, Pérez LT, Toda LI, et al. Estudio prospectivo de maduración, desarrollo e incidencia lesional en balonmano formativo de élite.¿. ¿ Puede el estado madurativo ser un factor determinante de la incidencia lesional en balonmano? Apunts Medicina de l’Esport. 2015;50(185):5-14.
Moller M, Attermann J, Myklebust G, Wedderkopp N. Injury risk in Danish youth and senior elite handball using a new SMS text messages approach. Br J Sports Med. 2012;46(7):531-7.
Karanfilci M, Kabak B. Analysis of sports injuries in training and competition for handball players. Tr J Sport Exerc. 2013;15(3):27-34.
Nielsen AB, Yde J. An epidemiologic and traumatologic study of injuries in handball. Int J Sports Med. 1988;9(05):341-4.
Wedderkopp N, Kaltoft M, Holm R, Froberg K. Comparison of two intervention programmes in young female players in European handball– with and without ankle disc. Scand J Med Sci Sports. 2003;13(6):371-5.
Wedderkopp N, Kaltoft M, Lundgaard B, Rosendahl M, Froberg K. Injuries in young female players in European team handball. Scand J Med Sci Sports. 1997;7(6):342-7.
Tsigilis N, Hatzimanouil D. Injuries in handball: Examination of the risk factors. Eur J Sport Sci. 2005;5(3):137-42.
Langevoort G, Myklebust G, Dvorak J, Junge A. Handball injuries during major international tournaments. Scand J Med Sci Sports.2007;17(4):400-7.
Backous DD, Friedl KE, Smith NJ, Parr TJ, Carpine WD. Soccer injuries and their relation to physical maturity. Am J Dis Child. 1988;142(8):839-42.
Linder MM, Townsend DJ, Jones JC, Balkcom IL, Anthony CR. Incidence of adolescent injuries in junior high school football and its relationship to sexual maturity. Clin J Sport Med. 1995;5(3):167-70.
Michaud PA, Renaud A, Narring F. Sports activities related to injuries? A survey among 9–19 year olds in Switzerland. Inj Prev. 2001;7(1):41-5.
Matthys SPJ, Fransen J, Vaeyens R, Lenoir M, Philippaerts R. Differences in biological maturation, anthropometry and physical performance between playing positions in youth team handball. J Sports Sci. 2013;31(12):1344-52.
Tanner JM, Whitehouse RH, Takaishi M. Standards from birth to maturity for height, weight, height velocity, and weight velocity: British children, 1965. I. Arch Dis Child. 1966;41(219):454.
Slora EJ, Bocian AB, Herman-Giddens ME, Harris DL, Pedlow SE, Dowshen SA, et al. Assessing inter-rater reliability (IRR) of Tanner staging and orchidometer use with boys: a study from PROS. J Pediatr Endocrinol Metab. 2009;22(4):291-300.
Hägglund M, Waldén M, Bahr R, Ekstrand J. Methods for epidemiological study of injuries to professional football players: developing the UEFA model. Br J Sports Med. 2005;39(6):340-6.
Rae K, Orchard J. The Orchard sports injury classification system (OSICS) version 10. Clin J Sport Med.2007;17(3):201-4.
Backx FJG, Beijer HJM, Bol E, Erich WBM. Injuries in high-risk persons and high-risk sports: a longitudinal study of 1818 school children. Am J Sports Med. 1991;19(2):124-30.
De Loes M. Epidemiology of sports injuries in the Swiss organization. Int J Sports Med. 1995;16(02):134-8.
Dirx M, Bouter LM, De Geus GH. Aetiology of handball injuries: a case--control study. Br J Sports Med. 1992;26(3):121-4.
Bere T, Flørenes TW, Krosshaug T, Koga H, Nordsletten L, Irving C, et al. Mechanisms of anterior cruciate ligament injury in World Cup alpine skiing: a systematic video analysis of 20 cases. Am J Sports Med. 2011;39(7):1421-9.
Jørgensen U. Epidemiology of injuries in typical Scandinavian team sports. Br J Sports Med. 1984;18(2):59-63.
Tyrdal S, Bahr R. High prevalence of elbow problems among goalkeepers in European team handball‐‘handball goalie’s elbow’. Scand J Med Sci Sports. 1996;6(5):297-302.
Tunås P, Nilstad A, Myklebust G. Low back pain in female elite football and handball players compared with an active control group. Knee Surg Sports Traumatol Arthrosc. 2015;23(9):2540-7.
Mohamed H, Vaeyens R, Matthys S, Multael M, Lefevre J, Lenoir M, et al. Anthropometric and performance measures for the development of a talent detection and identification model in youth handball. J Sports Sci. 2009;27(3):257-66.
Laffaye G, Debanne T, Choukou AM. Is the ball velocity dependent on expertise? A multidimensional study in handball. Int J Perform Anal Sport. 2012;12(3):629-42.
Cardinale M, Whiteley R, Hosny AA, Popovic N. Activity Profiles and Positional Differences of Handball Players During the World Championships in Qatar 2015. Int J Sports Physiol Perform. 2016:1-23.
Rosa BB, Asperti AM, Helito CP, Demange MK, Fernandes TL, Hernandez AJ. Epidemiology of sports injuries on collegiate athletes at a single center. Acta Ortop Bras. 2014;22(6):321-4.
Malina RM. Maturity status and injury risk in youth soccer players. Clin J Sport Med. 2010;20(2):132.
Luke A, Lazaro RM, Bergeron MF, Keyser L, Benjamin H, Brenner J, et al. Sports-related injuries in youth athletes: is overscheduling a risk factor? Clin J Sport Med. 2011;21(4):307-14.
Stracciolini A, Casciano R, Levey Friedman H, Meehan Iii WP, Micheli LJ. Pediatric sports injuries: an age comparison of children versus adolescents. Am J Sports Med. 2013;41(8):1922-9.
Myklebust G, Holm I, Mæhlum S, Engebretsen L, Bahr R. Clinical, functional, and radiologic outcome in team handball players 6 to 11 years after anterior cruciate ligament injury. Am J Sports Med. 2003;31(6):981-9.
Wolf BR, Amendola A. Impact of osteoarthritis on sports careers. Clin Sports Med. 2005;24(1):187-98.
Clarsen B, Bahr R, Andersson SH, Munk R, Myklebust G. Reduced glenohumeral rotation, external rotation weakness and scapular dyskinesis are risk factors for shoulder injuries among elite male handball players: a prospective cohort study. Br J Sports Med. 2014;48(17):1327-33.
Quick links
© 2019 Termedia Sp. z o.o. All rights reserved.
Developed by Bentus.
PayU - płatności internetowe