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Sportverletz Sportschaden 2020; 34(03): 129-135
DOI: 10.1055/a-1209-4666
Übersicht

Epidemiologie und Verletzungsprävention im Handball

Epidemiology and injury prevention in handball
Leonard Achenbach
1   Klinik f. Unfall-, Hand-, Plastische und Rekonstruktive Chirurgie, Universitätsklinikum Würzburg
,
Patrick Luig
2   Deutscher Handballbund e. V., Dortmund
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Zusammenfassung

Handball ist durch eine hohe Verletzungsrate gekennzeichnet. Aktuelle epidemiologische Studien, die die Charakteristik des Handballs besser berücksichtigen, zeichnen hierbei ein deutliches Bild des Verletzungsmusters und -risikos für Handballspielerinnen und -spieler. Während die Hälfte der Spieler nach einer akuten Verletzung mit einer medizinischen Behandlung weiterspielen und trainieren können, so geht die andere Hälfte der Verletzungen mit Verlust an Trainings- und Spielzeit einher. Zwar zeigen sich die erlittenen Verletzungen im Ligabetrieb häufig mit einem Kontaktmechanismus assoziiert, jedoch sind diese nur wenig mit Foulspiel verbunden, sodass im Handball ein hohes Präventionspotenzial vorhanden ist. Die Handballmedizin zeigt dabei große Bemühungen, das Verletzungsrisiko ihres Sports primär reduzieren zu wollen. Die bereits vorhandene Evidenz für Reduktionsmöglichkeiten von Knieverletzungen muss nun in den Trainingsalltag implementiert werden. Aufgrund der hohen Prävalenz von Überlastungsverletzungen der Wurfschulter wurden auch hier die ersten Erkenntnisse in ein Präventionsprogramm umgesetzt. Dieser Artikel wird dies im Detail beschreiben.

Abstract

Handball is characterised by a high rate of injuries. Recent epidemiologic studies, which take the characteristics of handball into account, demonstrate a clear picture of injury patterns and injury risks for handball athletes. While more than half of all athletes can continue playing handball after medical treatment, the other half of injuries is accompanied by loss of training and match time. Although the sustained injuries are associated with a contact mechanism, they are not related to a high rate of foul play in the league setting. This shows that there is a high potential for prevention. Handball medicine strongly aims to primarily reduce and thus prevent injuries in this sport. The existing evidence for the potential of prevention of severe knee injuries must now be implemented into daily training. Due to the high prevalence of overuse injuries to the throwing shoulder, here, too, the first insights have been implemented in a prevention programme. This is described in detail in this article.

Schlüsselwörter

Prävention - Verletzung - Knie - Schulter - Video - Mechanismus

Key Words

prevention - injury - knee - shoulder - video - mechanism


Publication History

Article published online:
21 August 2020

© Georg Thieme Verlag KG
Stuttgart · New York

 

  • Literatur

  • 1 Krutsch W, Eder K, Krutsch V. et al. “Stay and Play” in football: art of keeping players fit to play. Unfallchirurg 2018; 121 (06) 433-440
    CrossrefPubMedSearch in Google Scholar
  • 2 Nielsen AB, Yde J. An epidemiologic and traumatologic study of injuries in handball. Int J Sports Med 1988; 9: 341-344
    Thieme ConnectPubMedSearch in Google Scholar
  • 3 Seil R, Rupp S, Tempelhof S. et al. Sports-injuries in team handball. A one-year prospective study of sixteen men’s senior teams of superior nonprofessional level. Am J Sports Med 1998; 26: 681-687
    CrossrefPubMedSearch in Google Scholar
  • 4 Wedderkopp N, Kaltoft M, Holm R. et al. Conmparison of two intervention programmes in young female players in European handball – with and without ankle disc. Scand J Med Sci Sports 2003; 13: 371-375
    CrossrefPubMedSearch in Google Scholar
  • 5 Giroto N, Hespanhol Junior LC, Gomes MR. et al. Incidence and risk factors of injuries in Brazilian elite handball players: a prospective cohort study. Scand J Med Sci Sports 2017; 27 (02) 195-202
    CrossrefPubMedSearch in Google Scholar
  • 6 Moller M, Attermann J, Myklebust G. et al. Injury risk in Danish youth and senior elite handball using a new SMS text message approach. Br J Sports Med 2012; 46 (07) 531-537
    CrossrefPubMedSearch in Google Scholar
  • 7 Rafnsson ET, Valdimarsson Ö, Sveinsson T. et al. Injury pattern in Icelandic elite male handball players. Clin J Sports Med 2019; 29 (03) 232-237
    CrossrefPubMedSearch in Google Scholar
  • 8 Luig P, Krutsch W, Nerlich M. et al. Increased injury rates after the restructure of Germany's national second league of team handball. Knee Surg Sports Traumatol Arthrosc 2018; 26 (07) 1884-1891
    CrossrefPubMedSearch in Google Scholar
  • 9 Ardern CL, Webster KE, Taylor NF. et al. Return to sport following anterior cruciate ligament reconstruction surgery: a systematic review andmeta-analysis of the state of play. British Journal of Sports Medicine 2011; 45 (07) 596-606
    CrossrefPubMedSearch in Google Scholar
  • 10 Ardern CL, Taylor NF, Feller JA. et al. Fifty-five per cent return to competitive sport following anterior cruciate ligament reconstruction surgery: an updated systematic review and meta-analysis including aspects of physical functioning and contextual factors. British Journal of Sports Medicine 2014; 48 (21) 1543-1552
    CrossrefPubMedSearch in Google Scholar
  • 11 Fagerli UM, Lereim I, Sahlin Y. Injuries in handball players. Tidsskr Nor Laegeforen 1990; 110: 475-478
    PubMedSearch in Google Scholar
  • 12 Frobose I, Knaak AL, Menke W. Häufigkeit und Lokalisation von Verletzungen im Frauenhandball. Dtsch Ztschr Sportmed 1996; 47: 472-478
    PubMedSearch in Google Scholar
  • 13 Jorgensen U. Epidemiology of injuries in typical Scandinavian team sports. Br J Sports Med 1984; 18: 59-63
    CrossrefPubMedSearch in Google Scholar
  • 14 Wedderkopp N, Kaltoft M, Lundgaard B. et al. Injuries in young female players in European team handball. Scand J Med Sci Sports 1997; 7: 342-347
    CrossrefPubMedSearch in Google Scholar
  • 15 Piry H, Fallahi A, Kordi R. et al. Handball Injuries in Elite Asian Players. World Appl Sci J 2011; 14: 1599-1664
    PubMedSearch in Google Scholar
  • 16 Bere T, Alonsi JM, Wangensteen A. et al. Injury and illness surveillance during the 24th men’s Handball World Championship 2015 in Qatar. Br J Sports Med 2015; 49: 1151-1156
    CrossrefPubMedSearch in Google Scholar
  • 17 Luig P, Krutsch W, Henke T. et al. Contact – but not foul play – dominates injury mechanism in professional men’s handball: a video match analysis of 580 injuries. Br J Sports Med 2020;
    CrossrefPubMedSearch in Google Scholar
  • 18 Andersson SH, Cardinale M, Whiteley R. et al. Video analysis of acute injuries and referee decisions during the 24th men’s Handball world Championship 2015 in Qatar. Scand J Med Sci Sports 2018; 28: 1837-1846
    CrossrefPubMedSearch in Google Scholar
  • 19 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: 297-302
    CrossrefPubMedSearch in Google Scholar
  • 20 Aasheim C, Stavenes H, Andersson SH. et al. Prevalence and burden of overuse injuries in elite junior handball. BMJ Open Sport Exerc Med 2018; 4: e000391
    CrossrefPubMedSearch in Google Scholar
  • 21 Johnson JE, Fullmer JA, Nielsen CM. et al. Glenohumeral Internal Rotation Deficit and Injuries: A Systematic Review and Meta-analysis. Orthop J Sports Med 2018; 6: 2325967118773322
    Search in Google Scholar
  • 22 Backx FJ, Beijer HJ, Bol E. et al. Injuries in high-risk persons and high-risk sports. A longitudinal study of 1818 school children. Am J Sports Med 1991; 19: 124-130
    CrossrefPubMedSearch in Google Scholar
  • 23 De Loes M. Epidemiology of sports injuries in the Swiss organizhation „youth and sports„ 1987–1989. Int J Sports Med 1995; 16: 134-138
    Thieme ConnectPubMedSearch in Google Scholar
  • 24 Olsen OE, Myklebust G, Engebretsen L. et al. Injury pattern in youth team handball: a comparison of two prospective registration methods. Scand J Med Sci Sports 2006; 16: 426-432
    CrossrefPubMedSearch in Google Scholar
  • 25 Olsen OE, Myklebust G, Engebretsen L. et al. Exercises to prevent lower limb injuries in youth sports: cluster randomised controlled trial. BMJ 2005; 330-449
    PubMedSearch in Google Scholar
  • 26 Dirx M, Bouter LM, de Geus GH. Aetiology of handball injuries: a case-control study. Br J Sports Med 1992; 26: 121-124
    CrossrefPubMedSearch in Google Scholar
  • 27 Aman M, Forssblad M, Larsen K. Incidence and body location of reported acute sports injuries in seven sports using a national insurance database. Scan J Med Sci Sports 2018 Mar 28 (03) 1147-1158
    CrossrefPubMed
  • 28 Achenbach L, Krutsch V, Weber J. et al. Neuromuscular exercises prevent severe knee injury in adolescent team handball players. Knee Surg Sports Traumatol Arthrosc 2017; 26 (07) 1901-1908
    CrossrefPubMedSearch in Google Scholar
  • 29 Langevoort G, Myklebust G, Dvorak J. et al. Handball injuries during major international tournaments. Scand J Med Sci Sports 2007; 17: 400-407
    PubMedSearch in Google Scholar
  • 30 Holdhaus H. Summary of the injury study conducted at the EHF men’s 2008 in Norway. Vienna: EHF Web Periodical; 2008
    Search in Google Scholar
  • 31 Holdhaus H. Summary of the injury study conducted at the women’s EHF Euro. Vienna: EHF Web Periodical; 2008
    Search in Google Scholar
  • 32 Holdhaus H. Summary of the injury study conducted at the men’s EHF 2010 Euro in Austria. Vienna: EHF Web Periodical; 2010
    Search in Google Scholar
  • 33 Holdhaus H. Summary of the injury study conducted at the women’s EHF Euro 2010 in Denmark and Norway. Vienna: EHF Web Periodical; 2010
    Search in Google Scholar
  • 34 Arendt E, Dick R. Knee injury patterns among men and women in collegiate basketball and soccer. NCAA data and review of literature. Am J Sports Med 1995; 23: 694-701
    CrossrefPubMedSearch in Google Scholar
  • 35 Myklebust G, Maehlum S, Engebretsen L. et al. Registration of cruciate ligament injuries in Norwegian top level team handball. A prospective study covering two seasons. Scand J Med Sci Sports 1997; 7: 289-292
    CrossrefPubMedSearch in Google Scholar
  • 36 Myklebust G, Maehlum S, Holm I. et al. A prospective cohort study of anterior cruciate ligament injuries in elite Norwegian team handball. Scand J Med Sci Sports 1998; 8: 149-153
    CrossrefPubMedSearch in Google Scholar
  • 37 Powell JW, Barber-Foss KD. Sex-related injury patterns among selected high school sports. Am J Sports Med 2000; 28: 385-391
    CrossrefPubMedSearch in Google Scholar
  • 38 Achenbach L, Loose O, Laver L. et al. Beach handball is safer than indoor handball: Injury rates during the 2017 European Beach Handball Championships. Knee Surg Sports Traumatol Arthrosc 2018; 26 (07) 1909-1915
    CrossrefPubMedSearch in Google Scholar
  • 39 Ekstrand J, Gillquist J, Liljedahl SO. Prevention of soccer injuries. Supervision and physiotherapist. Am J Sports Med 1983; 11 (03) 116-120
    CrossrefPubMedSearch in Google Scholar
  • 40 Kristianslund E, Faul O, Bahr R. et al. Sidestep cutting technique and kne abduction loading: implications for ACL prevention exercises. Br J Sports Med 2014; 48 (09) 779-783
    CrossrefPubMedSearch in Google Scholar
  • 41 Zebis MK, Andersen LL, Bencke J. et al. Identification of athletes at future risk of anterior cruciate ligament ruptures by neuromuscular screening. Am J Sports Med 2009; 37 (10) 967-1973
    CrossrefPubMedSearch in Google Scholar
  • 42 Myer GD, Sugimoto D, Thomas S. et al. The influence of age on the effectiveness of neuromuscular training to reduce anterior cruciate ligament injury in female athletes: a meta-analysis. Am J Sports Med 2013; 41 (01) 203-215
    CrossrefPubMedSearch in Google Scholar
  • 43 Petushek EJ, Sugimoto D, Stoolmiller M. et al. Evidence-Based Best-Practice Guidelines for Preventing Anterior Cruciate Ligament Injuries in Young Female Athletes: A Systematic Review and Meta-analysis. Am J Sports Med 2019; 47 (07) 1744-1753
    CrossrefPubMedSearch in Google Scholar
  • 44 Myklebust G, Engebretsen L, Braekken H. et al. Prevention of anterior cruciate ligament injuries in female team handball players: a prospective intervention study over three seasons. Clin J Sport Med 2003; 13 (02) 71-78
    CrossrefPubMedSearch in Google Scholar
  • 45 Petersen W, Braun C, Bock W. et al. A controlled prospective case control study of a prevention training program in female team handball players: the German experience. Arch Orthop Trauma Surg 2005; 125 (09) 614-621
    CrossrefPubMedSearch in Google Scholar
  • 46 Olsen OE, Myklebust G, Engebretsen L. et al. Exercises to prevent lower limb injuries in youth sports: cluster randomised controlled trial. BMJ 2005; 330: 449
    CrossrefPubMedSearch in Google Scholar
  • 47 Pieper HG. Humeral torsion in the throwing arm of handball players. Am J Sports Med 1998; 26 (02) 247-253
    CrossrefPubMedSearch in Google Scholar
  • 48 Achenbach L, Clément AC, Hufsky L. et al. The throwing shoulder in youth handball: soft tissue adaptations but not humeral retrotorsion differ between the two sexes. Knee Surg Sports Traumatol Arthrosc 2019;
    CrossrefPubMedSearch in Google Scholar
  • 49 Winkelmann MT, Walter SS, Laver L. et al. Increased posterior shoulder capsule thickness in youth elite handball players: a sonographic investigation. J Shoulder Elb Surg 2020;
    CrossrefPubMedSearch in Google Scholar
  • 50 Achenbach L, Laver L, Walter SS. et al. Decreased external rotation strength is a risk factor for overuse shoulder injury in youth elite handball athletes. Knee Surg Sports Traumatol Arthrosc 2019;
    CrossrefPubMedSearch in Google Scholar
  • 51 Clarsen B, Bahr R, Andersson SH. et al. 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: 1327-1333
    CrossrefPubMedSearch in Google Scholar
  • 52 Andersson SH, Bahr R, Clarsen B. et al. Risk factors for overuse shoulder injuries in a mixed-sex cohort of 329 elite handball players: previous findings could not be confirmed. Br J Sports Med 2018; 52: 1191-1198
    CrossrefPubMedSearch in Google Scholar
  • 53 Møller M, Nielsen RO, Attermann J. 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 (04) 231-237
    CrossrefPubMedSearch in Google Scholar
  • 54 Andersson SH, Bahr R, Clarsen B. et al. Preventing overuse shoulder injuries among throwing athletes: a cluster-randomised controlled trial in 660 elite handball players. Br J Sports Med 2017; 51 (14) 1073-1080
    CrossrefPubMedSearch in Google Scholar