Aim We aimed to identify patterns and mechanisms of injury situations in men’s professional handball by means of video match analysis. Methods Moderate and severe injuries (absence of >7 days) sustained in competition in one of six seasons (2010 to 2013 and 2014 to 2017) in men’s professional handball were prospectively analysed with a newly developed standardised observation form. Season 2013 to 2014 was excluded because of missing video material. Results 580 injuries were identified: 298 (51.4%) contact injuries, 151 (26.0%) indirect contact injuries and 131 (22.6%) non-contact injuries. Head (87.5%), hand (83.8%), shoulder (70.2%) and ankle (62.9%) injuries were mainly sustained during direct contact. Typical contact injuries included collision with an opponent’s upper extremity or torso, and ankle injuries mainly consisted of foot-to-foot collisions. A large proportion (41.7%) of knee injuries were caused by indirect contact, whereas thigh injuries mainly occurred (56.4%) through non-contact mechanism. Wing (56.9%) and pivot (58.4%) players had the highest proportion of contact injuries, whereas backcourt players had a high proportion of indirect contact injuries (31.5%) and goalkeepers of non-contact injuries (48.9%). The injury proportion of foul play was 28.4%. Most injuries occurred in the central zone between the 6-metre and 9-metre lines (26.1%) and during the last 10 min of each match half (OR 1.71, p=0.016). Conclusions In men’s professional handball in a league setting, contact — but not foul play — was the most common mechanism associated with moderate and severe injuries. Head, hand, shoulder and ankle injury were mainly sustained during direct contact.

中文翻译：

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接触——但不是犯规——主导了男子职业手球的伤病机制：对 580 次伤病的视频比赛分析

目的我们旨在通过视频比赛分析来识别男子职业手球受伤情况的模式和机制。方法 使用新开发的标准化观察表对男子职业手球六个赛季（2010 年至 2013 年和 2014 年至 2017 年）之一在比赛中持续的中度和重度受伤（缺勤时间 >7 天）进行前瞻性分析。由于缺少视频资料，2013 至 2014 赛季被排除在外。结果 共确定伤害580例：接触伤害298（51.4%），间接接触伤害151（26.0%），非接触伤害131（22.6%）。头部（87.5%）、手（83.8%）、肩（70.2%）和脚踝（62.9%）的损伤主要在直接接触过程中持续。典型的接触伤害包括与对手的上肢或躯干碰撞，脚踝受伤主要包括脚对脚的碰撞。很大比例的膝关节损伤（41.7%）是由间接接触引起的，而大腿损伤主要是通过非接触机制发生的（56.4%）。边路（56.9%）和中枢（58.4%）球员接触伤的比例最高，而后场球员间接接触伤（31.5%）和门将非接触伤（48.9%）的比例很高。犯规受伤比例为28.4%。大多数受伤发生在 6 米和 9 米线之间的中央区域 (26.1%) 以及每场比赛半场的最后 10 分钟 (OR 1.71, p=0.016)。结论 在联赛中的男子职业手球比赛中，接触——但不是犯规——是与中度和重度受伤相关的最常见机制。头，手，