Handball Injuries: Epidemiology and Injury Characterization: Part 2

  • Lior Laver
  • Patrick Luig
  • Leonard Achenbach
  • Grethe Myklebust
  • Jon Karlsson


Sports epidemiologic analysis does not rely only on demographic factors but rather the sum of factors controlling the presence or absence of injuries. These factors relate to sports-specific aspects which single out one sport from another and possibly contribute to the injury profile in the sport.

The sport of handball is unique in the fact that it is not only a throwing or pivoting sport but also a contact sport. It is unique in the length of the game (60 min; 30 × 30 min), the different playing positions, the free substitutions, and the fast play-renewal after each scored goal which gives the game a fast and distinctive dynamic natureall these contribute to unique injury characteristics, specific for the sport.

This chapter will focus on the sports-specific factors in handball and attempt to characterize injury distribution according to these factors.


  1. 1.
    Hoeberigs JH, van Galen WC, Philipsen H. Pattern of injury in handball and comparison of injured versus noninjured handball players. Int J Sports Med. 1986;7:333–7.CrossRefGoogle Scholar
  2. 2.
    Leidinger A, Gast W, Pforringer W. Traumatology in indoor handball sports. A sports medicine analysis of the incidence of injuries and accident epidemiology of indoor handball sports in senior players in the Federal Republic of Germany after 1981. Sportverletz Sportschaden. 1990;4:65–8.CrossRefGoogle Scholar
  3. 3.
    Nielsen AB, Yde J. An epidemiologic and traumatologic study of injuries in handball. Int J Sports Med. 1988;9:341–4.CrossRefGoogle Scholar
  4. 4.
    Dirx M, Bouter LM, de Geus GH. Aetiology of handball injuries: a case–control study. Br J Sports Med. 1992;26:121–4.CrossRefGoogle Scholar
  5. 5.
    Fagerli UM, Lereim I, Sahlin Y. Injuries in handball players. Tidsskr Nor Laegeforen. 1990;110:475–8.PubMedPubMedCentralGoogle Scholar
  6. 6.
    Reckling C, Zantop T, Petersen W. Epidemiology of injuries in juvenile handball players. Sportverletz Sportschaden. 2003;17:112–7.CrossRefGoogle Scholar
  7. 7.
    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. 1998;26:681–7.CrossRefGoogle Scholar
  8. 8.
    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;13:371–5.CrossRefGoogle Scholar
  9. 9.
    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;7:342–7.CrossRefGoogle Scholar
  10. 10.
    Wedderkopp N, Kaltoft M, Lundgaard B, Rosendahl M, Froberg K. Prevention of injuries in young female players in European team handball. A prospective intervention study. Scand J Med Sci Sports. 1999;9:41–7.CrossRefGoogle Scholar
  11. 11.
    Laver L, Myklebust G. Handball injuries: epidemiology and injury characterization. In: Doral MN, Karlsson J, editors. Sports injuries. Springer-Verlag Berlin Heidelberg; 2015. Scholar
  12. 12.
    Luig P, Bloch H, Burkhardt K, Klein C, Kühn N. VBG-Sportreport 2017—Analyse des Unfallgeschehens in den zwei höchsten Ligen der Männer: Basketball, Eishockey, Fußball und Handball. Hamburg: VBG; 2017.Google Scholar
  13. 13.
    Backx FJ, Beijer HJ, Bol E, Erich WB. Injuries in high-risk persons and high-risk sports. A longitudinal study of 1818 school children. Am J Sports Med. 1991;19:124–30.CrossRefGoogle Scholar
  14. 14.
    Yde J, Nielsen AB. Sports injuries in adolescents’ ball games: soccer, handball and basketball. Br J Sports Med. 1990;24:51–4.CrossRefGoogle Scholar
  15. 15.
    Ekstrand J, Gillquist J, Moller M, Oberg B, Liljedahl SO. Incidence of soccer injuries and their relation to training and team success. Am J Sports Med. 1983;11:63–7.CrossRefGoogle Scholar
  16. 16.
    Lorentzon R, Wedren H, Pietila T. Incidence, nature, and causes of ice hockey injuries. A three-year prospective study of a Swedish elite ice hockey team. Am J Sports Med. 1988;16:392–6.CrossRefGoogle Scholar
  17. 17.
    Twellaar M, Verstappen FT, Huson A. Is prevention of sports injuries a realistic goal? A four-year prospective investigation of sports injuries among physical education students. Am J Sports Med. 1996;24:528–34.CrossRefGoogle Scholar
  18. 18.
    Engebretsen L, Soligard T, Steffen K, Alonso JM, Aubry M, Bidgett R, Dvorak J, Jegathesan M, Meeuwisse WH, Mountjoy M, Palmer-Green D, Vanhegan I, Renstrom PA. Sports injuries and illnesses during the London Summer Olympic Games 2012. Br J Sports Med. 2013;47(7):407–14.CrossRefGoogle Scholar
  19. 19.
    Junge A, Engebretsen L, Mountjoy ML, Alonso JM, Renstrom PA, Aubry MJ, Dvorak J. Sports injuries during the Summer Olympic Games 2008. Am J Sports Med. 2009;37:2165–72.CrossRefGoogle Scholar
  20. 20.
    Langevoort G, Myklebust G, Dvorak J, Junge A. Handball injuries during major international tournaments. Scand J Med Sci Sports. 2007;17:400–7.Google Scholar
  21. 21.
    Piry H, Fallahi A, Kordi R, Rajabi R, Rahimi M, Yosefi M. Handball Injuries in Elite Asian Players. World Appl Sci J. 2011;14:1599–64.Google Scholar
  22. 22.
    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.CrossRefGoogle Scholar
  23. 23.
    Giroto N, Hespanhol Junior LC, Gomes MR, Lopes AD. Incidence and risk factors of injuries in Brazilian elite handball players: a prospective cohort study. Scand J Med Sci Sports. 2017;27(2):195–202.CrossRefGoogle Scholar
  24. 24.
    Hatzimanouil D, Oxizoglou N, Sikaras A, Hatzimanouil K, Koronas K, Tsigilis N, Abatzides G. Factors related to the incidence and severity of injuries in team handball. J Hum Mov Stud. 2005;45:335–51.Google Scholar
  25. 25.
    Luig P, Bloch H, Burkhardt K, Klein C, Kühn N. VBG-Sportreport 2016—Analyse des Unfallgeschehens in den zwei höchsten Ligen der Männer: Basketball, Eishockey, Fußball und Handball. Hamburg: VBG; 2016.Google Scholar
  26. 26.
    Frobose I, Knaak AK, Menke W. Haufigkeit und Lokalisation von Verletzungen im Frauenhandball. Dtsch Ztschr Sportmed. 1996;47:472–8.Google Scholar
  27. 27.
    Jorgensen U. Epidemiology of injuries in typical Scandinavian team sports. Br J Sports Med. 1984;18:59–63.CrossRefGoogle Scholar
  28. 28.
    Myklebust G, Engebretsen L, Braekken IH, Skjolberg A, Olsen OE, Bahr R. Prevention of anterior cruciate ligament injuries in female team handball players: a prospective intervention study over three seasons. Clin J Sport Med. 2003;13:71–8.CrossRefGoogle Scholar
  29. 29.
    Myklebust G, Maehlum S, Engebretsen L, Strand T, Solheim E. Registration of cruciate ligament injuries in Norwegian top level team handball. A prospective study covering two seasons. Scand J Med Sci Sports. 1997;7:289–92.CrossRefGoogle Scholar
  30. 30.
    Myklebust G, Maehlum S, Holm I, Bahr R. A prospective cohort study of anterior cruciate ligament injuries in elite Norwegian team handball. Scand J Med Sci Sports. 1998;8:149–53.CrossRefGoogle Scholar
  31. 31.
    Bere T, Alonso JM, Wangensteen A, Bakken A, Eirale C, Dijkstra HP, Ahmed H, Bahr R, Popovic N. Injury and illness surveillance during the 24th men’s Handball World Championship 2015 in Qatar. Br J Sports Med. 2015;49:1151–6.CrossRefGoogle Scholar
  32. 32.
    Strand T, Tvedte R, Engebretsen L, Tegnander A. Anterior cruciate ligament injuries in handball playing. Mechanisms and incidence of injuries. Tidsskr Nor Laegeforen. 1990;110:2222–5.PubMedGoogle Scholar
  33. 33.
    Asembo JM, Wekesa M. Injury pattern during team handball competition in east Africa. East Afr Med J. 1998;75:113–6.PubMedGoogle Scholar
  34. 34.
    Oehlert K, Drescher W, Petersen W, Zantop T, Gross V, Hassenpflug J. Injuries in olympic handball tournaments: a video analysis. Sportverletz Sportschaden. 2004;18:80–4.CrossRefGoogle Scholar
  35. 35.
    Holdhaus H. Summary of the injury study conducted at the EHF men’s Euro 2008 in Norway. Vienna: EHF Web Periodical; 2008a.Google Scholar
  36. 36.
    Holdhaus H. Summary of the injury study conducted at the womens’ handball EHF 2008 Euro. Vienna: EHF Web Periodical; 2008b.Google Scholar
  37. 37.
    Holdhaus H. Summary of the injury study conducted at the EHF women’s Euro 2010 in Denmark & Norway. Vienna: EHF Web Periodical; 2010a.Google Scholar
  38. 38.
    Holdhaus H. Summary of the injury study conducted at tht EHF men’s Euro 2010 in Austria. Vienna: EHF Web Periodical; 2010b.Google Scholar
  39. 39.
    Olsen OE, Myklebust G, Engebretsen L, Holme I, Bahr R. Relationship between floor type and risk of ACL injury in team handball. Scand J Med Sci Sports. 2003;13:299–304.CrossRefGoogle Scholar
  40. 40.
    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;16:426–32.CrossRefGoogle Scholar
  41. 41.
    von Gohlke F, LIppert MJ, Keck O. Instabilität und impigement an der Schulter des Leistungssportlers mit Überkopfbelastung. Sportverletz Sportschaden. 1993;7:115–21.CrossRefGoogle Scholar
  42. 42.
    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.CrossRefGoogle Scholar
  43. 43.
    Lian OB, Engebretsen L, Bahr R. Prevalence of jumper’s knee among elite athletes from different sports: a cross-sectional study. Am J Sports Med. 2005;33:561–7.CrossRefGoogle Scholar
  44. 44.
    Clarsen B, Myklebust G, Bahr R. Br J Sports Med. 2013;47:495–502.CrossRefGoogle Scholar
  45. 45.
    Luig P. Verletzungen im deutschen Profihandball der Männer—Epidemiologische Aspekte von Wettkampfverletzungen bei Erst- und Zweitligaspielern (2010–2013) unter Berücksichtigung systematischer Videoanalysen. Dissertation. Bochum: Ruhr-Universität Bochum; 2016.Google Scholar
  46. 46.
    Bahr R. No injuries, but plenty of pain? On the methodology for recording overuse symptoms in sports. Br J Sports Med. 2009;29:966–72.CrossRefGoogle Scholar
  47. 47.
    L’Hermette M, Polle G, Tourny-Chollet C, Dujardin F. Hip passive range of motion and frequency of radiographic hip osteoarthritis in former elite handball players. Br J Sports Med. 2006;40:45–9; discussion 45–49Google Scholar
  48. 48.
    Myklebust G, Holm I, Maehlum S, Engebretsen L, Bahr R. Clinical, functional, and radiologic outcome in team handball players 6 to 11 years after anterior cruciate ligament injury: a follow-up study. Am J Sports Med. 2003;31:981–9.CrossRefGoogle Scholar

Copyright information

© ESSKA 2018

Authors and Affiliations

  • Lior Laver
    • 1
    • 2
  • Patrick Luig
    • 3
  • Leonard Achenbach
    • 4
  • Grethe Myklebust
    • 5
  • Jon Karlsson
    • 6
  1. 1.Department of Trauma and OrthopaedicsUniversity Hospitals Coventry and WarwickshireCoventryUK
  2. 2.Department of ArthroscopyRoyal Orthopaedic HospitalBirminghamUK
  3. 3.Department of Sports Injury Research and Prevention, VBGGerman Social Accident Insurance for the Administrative SectorHamburgGermany
  4. 4.Department of Trauma SurgeryUniversity Medical Center RegensburgRegensburgGermany
  5. 5.Oslo Sports Trauma Research CenterOsloNorway
  6. 6.Department of OrthopaedicsSahlgrenska University Hospital, Sahlgrenska Academy at Gothenburg UniversityMölndalSweden

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