Head and Neck Injuries in Handball

  • Markus Wurm
  • Lior Laver


Over the last decades, handball has become a much faster as well as physical and technically demanding team sport. This was not only the result of the numerous changes in the rules of the game (i.e., different surface texture, time-out periods, etc.) but also with the result of the growing physical requirements of players which have led to a comprehensive development in handball. These changes have contributed to an increased injury risk over the last years.


Head Neck Injury Fracture Concussion Cervical spine Throat Orofacial trauma Mouth guard Eye injury 



I would like to express my grateful thanks to Mr. Herbert Jonas for reproduction of pictures included in this chapter.


  1. 1.
    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. Scholar
  2. 2.
    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. Scholar
  3. 3.
    Wagner H, Pfusterschmied J, von Duvillard SP, Muller E. Performance and kinematics of various throwing techniques in team-handball. J Sports Sci Med. 2011;10:73–80.PubMedPubMedCentralGoogle Scholar
  4. 4.
    Piry HFA, Kordi R, Rajabi R, Rahimi M, Yosefi M. Handball injuries in elite Asian players. World Appl Sci J. 2011;14:1559–64.Google Scholar
  5. 5.
    VBG. Verwaltungs Berufsgenossenschaftlicher Sportreport 2017. 2017.Google Scholar
  6. 6.
    Langevoort G, Myklebust G, Dvorak J, Junge A. Handball injuries during major international tournaments. Scand J Med Sci Sports. 2007;17:400–7. Scholar
  7. 7.
    Asembo JM, Wekesa M. Injury pattern during team handball competition in east Africa. East Afr Med J. 1998;75:113–6.Google Scholar
  8. 8.
    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. Scholar
  9. 9.
    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. Scholar
  10. 10.
    Jorgensen U. Injury patterns in Danish divisional handball. Ugeskr Laeger. 1983;145:690–2.PubMedPubMedCentralGoogle Scholar
  11. 11.
    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. Scholar
  12. 12.
    Nielsen AB, Yde J. An epidemiologic and traumatologic study of injuries in handball. Int J Sports Med. 1988;9:341–4. Scholar
  13. 13.
    Yde J, Nielsen AB. Sports injuries in adolescents’ ball games: soccer, handball and basketball. Br J Sports Med. 1990;24:51–4.CrossRefPubMedPubMedCentralGoogle Scholar
  14. 14.
    Bere T, et al. Injury and illness surveillance during the 24th Men’s Handball World Championship 2015 in Qatar. Br J Sports Med. 2015;49:1151–6. Scholar
  15. 15.
    Engebretsen L, et al. Sports injuries and illnesses during the London Summer Olympic Games 2012. Br J Sports Med. 2013;47:407–14. Scholar
  16. 16.
    Junge A, Engebretsen L, Alonso JM, Renstrom P, Mountjoy M, Aubry M, Dvorak J. Injury surveillance in multi-sport events: the International Olympic Committee approach. Br J Sports Med. 2008;42:413–21. Scholar
  17. 17.
    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. Scholar
  18. 18.
    Nabhan D, Walden T, Street J, Linden H, Moreau B. Sports injury and illness epidemiology during the 2014 Youth Olympic Games: United States Olympic Team Surveillance. Br J Sports Med. 2016;50:688–93. Scholar
  19. 19.
    Laver L, Myklebust G. Handball injuries: epidemiology and injury characterization. In: Doral MN, Karlsson J, editors. Sports injuries. Berlin: Springer; 2014. doi:10.1007/978-3-642-36801-1_287-1.Google Scholar
  20. 20.
    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. Scholar
  21. 21.
    Andersson SH, Bahr R, Cardinale M, Popovic N, Bere T, Myklebust G. Video analysis of acute injuries during the 24th Men’s Handball World Championship 2015 in Qatar. Br J Sports Med. 2017;51:286. Scholar
  22. 22.
    Bergman L, Milardovic Ortolan S, Zarkovic D, Viskic J, Jokic D, Mehulic K. Prevalence of dental trauma and use of mouthguards in professional handball players. Dent Traumatol. 2017;33:199–204. Scholar
  23. 23.
    Herring SA, et al. Concussion (mild traumatic brain injury) and the team physician: a consensus statement—2011 update. Med Sci Sports Exerc. 2011;43:2412–22.
  24. 24.
    McCrory P, et al. Consensus statement on concussion in sport-the 5th international conference on concussion in sport held in Berlin, October 2016. Br J Sports Med. 2017b;51(11):838–47. Scholar
  25. 25.
    McCrory P, et al. Infographic: consensus statement on concussion in sport. Br J Sports Med. 2017a;51(21):1557–8. Scholar
  26. 26.
    Echemendia RJ, et al. The sport concussion assessment tool 5th edition (SCAT5). Br J Sports Med. 2017;51(11):848–50. Scholar
  27. 27.
    Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5:32–5.CrossRefPubMedGoogle Scholar
  28. 28.
    McCrea M. Standardized mental status assessment of sports concussion. Clin J Sport Med. 2001;11:176–81.CrossRefPubMedGoogle Scholar
  29. 29.
    Makdissi M, et al. Approach to investigation and treatment of persistent symptoms following sport-related concussion: a systematic review. Br J Sports Med. 2017;51:958–68. Scholar
  30. 30.
    Lieger O, von Arx T. Orofacial/cerebral injuries and the use of mouthguards by professional athletes in Switzerland. Dent Traumatol. 2006;22:1–6. Scholar
  31. 31.
    Badel T, Jerolimov V, Panduric J, Carek V. Custom-made mouthguards and prevention of orofacial injuries in sports. Acta Med Croatica. 2007;61(Suppl 1):9–14.Google Scholar
  32. 32.
    Gialain IO, Kobayashi-Velasco S, Caldeira CL, Cavalcanti MG. Dental trauma prevention with mouthguard in a nose fracturing blow to the face (case report and literature review). Dent Traumatol. 2017;33(5):410–3. Scholar
  33. 33.
    Dirx M, Bouter LM, de Geus GH. Aetiology of handball injuries: a case–control study. Br J Sports Med. 1992;26:121–4.CrossRefPubMedPubMedCentralGoogle Scholar
  34. 34.
    Fagerli UM, Lereim I, Sahlin Y. Injuries in handball players. Tidsskr Nor Laegeforen. 1990;110:475–8.PubMedPubMedCentralGoogle Scholar
  35. 35.
    American Academy on Pediatric Dentistry Council on Clinical A. Guideline on management of acute dental trauma. Pediatr Dent. 2008;30:175–83.Google Scholar
  36. 36.
    Lang B, Pohl Y, Filippi A. Knowledge and prevention of dental trauma in team handball in Switzerland and Germany. Dent Traumatol. 2002;18:329–34.CrossRefGoogle Scholar
  37. 37.
    Ozbay G, Bakkal M, Abbasoglu Z, Demirel S, Kargul B, Welbury R. Incidence and prevention of traumatic injuries in paediatric handball players in Istanbul, Turkey. Eur Arch Paediatr Dent. 2013;14:41–5. Scholar
  38. 38.
    IHF. Clothing and equipment guidelines. International Handball Federation. 2016.
  39. 39.
    Briner WW Jr, Kacmar L. Common injuries in volleyball. Mechanisms of injury, prevention and rehabilitation. Sports Med. 1997;24:65–71.CrossRefGoogle Scholar
  40. 40.
    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. Scholar
  41. 41.
    Gee AO. CORR insights(R): does the FIFA 11+ injury prevention program reduce the incidence of ACL injury in male soccer players? Clin Orthop Relat Res. 2017;475(10):2456–8. Scholar
  42. 42.
    Kirkendall DT, Dvorak J. Effective injury prevention in soccer. Phys Sportsmed. 2010;38:147–57. Scholar
  43. 43.
    Richmond SA, McKay CD, Emery CA. Knowledge translation in sport injury prevention research: an example in youth ice hockey in Canada. Br J Sports Med. 2014;48:941–2. Scholar
  44. 44.
    Riva D, Bianchi R, Rocca F, Mamo C. Proprioceptive training and injury prevention in a professional men’s basketball team: a six-year prospective study. J Strength Cond Res. 2016;30:461–75. Scholar
  45. 45.
    Ivancic PC, Xiao M. Understanding whiplash injury and prevention mechanisms using a human model of the neck. Accid Anal Prev. 2011;43:1392–9. Scholar
  46. 46.
    Schwerla F, Kaiser AK, Gietz R, Kastner R. Osteopathic treatment of patients with long-term sequelae of whiplash injury: effect on neck pain disability and quality of life. J Altern Complement Med. 2013;19:543–9. Scholar
  47. 47.
    Skillgate E, Cote P, Cassidy JD, Boyle E, Carroll L, Holm LW. Effect of early intensive care on recovery from whiplash-associated disorders: results of a population-based cohort study. Arch Phys Med Rehabil. 2016;97:739–46. Scholar
  48. 48.
    Cancelliere C, et al. Systematic review of prognosis and return to play after sport concussion: results of the international collaboration on mild traumatic brain injury prognosis. Arch Phys Med Rehabil. 2014;95:S210–29. Scholar
  49. 49.
    McLeod TC, Lewis JH, Whelihan K, Bacon CE. Rest and return to activity after sport-related concussion: a systematic review of the literature. J Athl Train. 2017;52:262–87. Scholar
  50. 50.
    Yeung A, Munjal V, Virji-Babul N. Development of the Sports Organization Concussion Risk Assessment Tool (SOCRAT). Brain Inj. 2017;31:542–9. Scholar
  51. 51.
    Putukian M. Clinical evaluation of the concussed athlete: a view from the sideline. J Athl Train. 2017;52:236–44. Scholar

Copyright information

© ESSKA 2018

Authors and Affiliations

  • Markus Wurm
    • 1
  • Lior Laver
    • 2
    • 3
  1. 1.Department of Sports OrthopedicsKlinikum Rechts der Isar, Technical University MunichMunichGermany
  2. 2.Department of Trauma and OrthopaedicsUniversity Hospitals Coventry and WarwickshireCoventryUK
  3. 3.Department of ArthroscopyRoyal Orthopaedic HospitalBirminghamUK

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