Objectives To assess (1) the 1-year prevalence of previous shoulder, knee and ankle injuries; (2) the in-season prevalence proportion (prevalence) of injuries and illnesses, injury incidence rate (ir) and injury burden (product of ir and weeks with injuries); (3) initial injury management strategies. Methods We conducted a cohort study of 679 highest-division Danish handball players aged 14–18. Players self-reported past-year shoulder, knee and ankle injuries at baseline, and weekly information on any handball-related injuries (irrespective of time loss and medical attention), illnesses, exposure hours and injury management over 31 weeks. Results At baseline, 46% (95% CI 42% to 49%) of the players reported a past-year shoulder, knee or ankle injury. The weekly average injury and illness prevalence was 21% (95% CI 19% to 23%) and 2% (95% CI 1.7% to 2.3%), respectively, and the ir was 9.4 (95% CI 8.7 to 10.2)/1000 hours. Females experienced the highest injury burden from knee injuries (ir: 1.7 (95% CI 1.3 to 2.2) × 6.7 (95% CI 4.7 to 8.7) weeks with injury/1000 hours), while males experienced the highest injury burden from shoulder injuries (ir: 1.3 (95% CI 1.0 to 1.7) × 5.7 (95% CI 3.6 to 7.8) weeks with injury/1000 hours). Health professionals were consulted in 58% (95% CI 54% to 62%) of injuries, players independently made the return to sport decision in 44% (95% CI 37% to 51%) of injury recurrences, and used analgesics, mainly (91% (95% CI 85% to 95%)) sourced from home, in 24% (95% CI 21% to 28%) of injuries. Conclusion Almost half of highest-division adolescent Danish handball players reported a previous past-year shoulder, knee or ankle injury. Any time during the season, 21% reported an injury and 2% an illness. The highest injury burdens were from knee injuries in females and shoulder injuries in males. Health professionals often managed injuries, but players frequently made return to sport decisions independently and commonly used analgesics sourced from home. Data are available upon reasonable request. All data are available on reasonable request. All personally identifiable information will be deleted or anonymised before data transfer.

中文翻译：

---

青少年手球的健康问题和伤病管理：Safeplay 对 679 名球员的单赛季队列研究


目的 评估 （1） 既往肩部、膝关节和踝关节损伤的 1 年患病率;（2） 受伤和疾病的季节患病率（患病率）、受伤发生率 （IR） 和受伤负担（IR 和受伤周数的乘积）;（3） 初始伤害管理策略。方法 我们对 679 名 14-18 岁的丹麦最高级别手球运动员进行了队列研究。球员在基线时自我报告了过去一年的肩部、膝盖和脚踝受伤情况，并在 31 周内每周提供有关任何手球相关伤病的信息（无论时间损失和医疗护理）、疾病、暴露时间和伤病管理。结果 在基线时，46% （95% CI 42% 至 49%） 的球员报告了过去一年的肩部、膝盖或踝关节受伤。每周平均伤害和疾病患病率分别为 21% （95% CI [19%， 23%] 和 2% （95% CI [1.7%， 2.3]），IR 为 9.4 （95% CI [8.7， 10.2]）/1000 小时。女性膝关节损伤的损伤负担最高（ir：1.7 （95% CI 1.3 至 2.2） × 6.7 （95% CI 4.7 至 8.7） 周受伤/1000 小时），而男性肩部损伤的损伤负担最高 （ir： 1.3 （95% CI 1.0 至 1.7） × 5.7 （95% CI 3.6 至 7.8） 周受伤/1000 小时）。58% （95% CI 54% 至 62%） 的受伤咨询了卫生专业人员，球员在 44% （95% CI 37% 至 51%） 的伤病复发中独立做出了重返运动的决定，并在 24% （95% CI 21% 至 28%） 的损伤中使用了镇痛药，主要 （91% （95% CI 85% 至 95%））来自家中。结论 几乎一半的最高级别青少年丹麦手球运动员报告说，过去一年肩部、膝盖或脚踝受伤。在赛季的任何时候，21% 的人报告受伤，2% 的人报告生病。 女性膝关节损伤和男性肩部损伤造成的损伤负担最高。卫生专业人员经常处理伤病，但球员经常独立做出重返运动的决定，并且通常使用从家里采购的镇痛药。数据可根据合理要求提供。所有数据均可根据合理要求提供。在数据传输之前，所有个人身份信息都将被删除或匿名化。