[Handball injuries and their prevention]

Orthopade. 2019 Dec;48(12):1036-1041. doi: 10.1007/s00132-019-03822-6.
[Article in German]

Abstract

Background: Handball is one of the most popular team sports in Germany, as well as one of the most dangerous ones. Injury rates in Germany are higher amongst handball professionals than in soccer, with the knee being the most commonly injured joint. To prevent injuries, a functional inert stability is necessary, but definitions and objective measures are lacking.

Objectives: Establishing valid reference data of functional knee stability in amateur handball players with use of an established test battery giving objective measures METHODS: 261 athletes (f:130; m:131), mean age 25.1 ± 5.8 y were screened during the preseason. The test battery consisted of double and single-leg counter movement jumps, balance tests, agility, parkour, quick feet test and plyometric jumps.

Results: Significant differences between males and females were noted in regard to balance scores (favour for females p ≤ 0.001), as well as jump height, agility and speed tests (favour for males [p ≤ 0.002-0.001]).

Conclusion: The noted differences once again bring focus to the interindividual presence of risk factors, because female and male handball athletes have gender-specific ground levels. These attributes have to be considered in further screening and prevention programs, as well as in the context of the return-to-sports decision after injury. The given data may serve as objective reference measures.

Keywords: Athletes; Handball; Injury; Knee joint; Reference values; Return to sport; Trauma.

MeSH terms

  • Adult
  • Anterior Cruciate Ligament / physiopathology*
  • Anterior Cruciate Ligament Injuries / prevention & control*
  • Athletes
  • Athletic Injuries / prevention & control*
  • Female
  • Germany
  • Humans
  • Male
  • Sports*
  • Young Adult