Epidemiology, identification, treatment and return to play of musculoskeletal-based ice hockey injuries

LaPrade, Robert F.; Surowiec, Rachel K.; Sochanska, Ada; Hentkowski, Brandon S; Martin, Brandie M; Engebretsen, Lars; Wijdicks, Coen A.

doi:10.1136/bjsports-2013-093020

Cited by 45 publications

(40 citation statements)

References 49 publications

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“…Most MCL injuries can be managed conservatively, although grade III MCL injuries, or involvement of the deep MCL and/or the posterior oblique ligament are associated with longer recovery time 41 42…”

Section: Section 3: What Evidence Do We Have To Inform the Clinician'mentioning

confidence: 99%

2016 Consensus statement on return to sport from the First World Congress in Sports Physical Therapy, Bern

et al. 2016

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Deciding when to return to sport after injury is complex and multifactorial-an exercise in risk management. Return to sport decisions are made every day by clinicians, athletes and coaches, ideally in a collaborative way. The purpose of this consensus statement was to present and synthesise current evidence to make recommendations for return to sport decision-making, clinical practice and future research directions related to returning athletes to sport. A half day meeting was held in Bern, Switzerland, after the First World Congress in Sports Physical Therapy. 17 expert clinicians participated. 4 main sections were initially agreed upon, then participants elected to join 1 of the 4 groups-each group focused on 1 section of the consensus statement. Participants in each group discussed and summarised the key issues for their section before the 17-member group met again for discussion to reach consensus on the content of the 4 sections. Return to sport is not a decision taken in isolation at the end of the recovery and rehabilitation process. Instead, return to sport should be viewed as a continuum, paralleled with recovery and rehabilitation. Biopsychosocial models may help the clinician make sense of individual factors that may influence the athlete's return to sport, and the Strategic Assessment of Risk and Risk Tolerance framework may help decision-makers synthesise information to make an optimal return to sport decision. Research evidence to support return to sport decisions in clinical practice is scarce. Future research should focus on a standardised approach to defining, measuring and reporting return to sport outcomes, and identifying valuable prognostic factors for returning to sport

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Section: Section 3: What Evidence Do We Have To Inform the Clinician'mentioning

confidence: 99%

2016 Consensus statement on return to sport from the First World Congress in Sports Physical Therapy, Bern

et al. 2016

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“…Ice hockey is associated with many potential risk factors for injury, such as unintended collisions; high velocity; rapid changes in direction; and contact with the boards, stick or puck 1. Full facial protection is mandatory for players under 18 years old.…”

Section: Introductionmentioning

confidence: 99%

Injuries in world junior ice hockey championships between 2006 and 2015

Tuominen¹,

Stuart

Aubry³

et al. 2016

Br J Sports Med

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Championship and under-18 (WJ U18) Championship were collected over a 9-year period using a strict injury definition, a standardised injury reporting system and diagnoses made by a team physician. Results 633 injuries were recorded in 1326 games over a 9-year period, resulting in an injury rate (IR) of 11.0 per 1000 player-games and 39.8/1000 playergame hours. The IRs in all tournaments were 4.3/1000 player-games for the head and face, 3.2 for the upper body, 2.6 for the lower body and 1.0 for the spine and trunk. A laceration was the most common injury type followed by a sprain. Lacerations accounted for 80% (IR 3.6) of facial injuries in WJ U20 tournaments. The shoulder was the most common injury site (IR 2.0) in WJ U18 tournaments. Board contact was the mechanism for 59% of these shoulder injuries. Concussion was the most common head and face injury (46%; IR 1.2) in WJ U18 tournaments. Conclusions and recommendations The risk of injury among male junior ice hockey players was lower than the reported rates in adult men but higher than that in women. Facial lacerations were common in U20 junior players (WJ U20) since most wear only partial facial protection (visor). The IR for shoulder injuries was high in U18 junior players (WJ U18). Suggested strategies for injury prevention include full facial protection for all players and flexible board and glass for all junior tournaments. INTRODUCTION Thirty-nine countries competed in the 2015International Ice Hockey Federation (IIHF) Male World Junior under-20 (WJ U20) Championships and 43 in the Male World Junior under-18 (WJ U18) Championships. The IIHF collaborated with the local organising committees to organise the A-pool and three other divisions. Divisions I and II of WJ U20 tournaments and all divisions of WJ U18 tournaments were divided into subgroups A and B. The teams were qualified for the divisions and its subgroups according to IIHF World ranking.Ice hockey is associated with many potential risk factors for injury, such as unintended collisions; high velocity; rapid changes in direction; and contact with the boards, stick or puck.1 Full facial protection is mandatory for players under 18 years old. Partial facial protection (visor) is allowed for junior players aged over 18 years. The ice hockey injury research at other levels of competition has shown that most injuries occur in a game, including lacerations, contusions, sprains and concussions. [2][3][4][5][6] Injuries in junior ice hockey at the international level have scarcely been studied. Knowledge of injuries should help to create effective prevention strategies for reducing the risk of injury, 7 and help organisers plan medical services during tournaments.The aim of the present study was to investigate the incidence, nature, causes, severity and time trend of injuries in the WJ U20 and U18 ice hockey tournaments between 2006 and 2015. , we registered, with permission from the IIHF, all ice hockey injuries from the 69 male junior ice hockey championships. There were 36 WJ U20 and 33 WJ U18 Champions...

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“…The active playing time is three periods of 20 min each. Despite the fact that body checking is not permitted in women's ice hockey at any level, ice hockey is associated with many potential risks, such as unintended collisions, high velocity, rapid changes in direction and traumas from the boards, stick or puck 1. Concussions, contusions, sprains and strains occur in female ice hockey 2 3.…”

Section: Introductionmentioning

confidence: 99%

Injuries in women's international ice hockey: an 8-year study of the World Championship tournaments and Olympic Winter Games

Tuominen¹,

Stuart

Aubry³

et al. 2015

Br J Sports Med

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The risk of injury to female ice hockey players at World Championship and Olympic tournaments was about half of that observed in the men's Championships. Full facial protection decreases the risk of lacerations and should be continued in all future female tournaments. More effective prevention strategies for knee, ankle and shoulder injuries are needed in women's ice hockey. Improved concussion education is necessary to promote more consistent diagnosis and return to play protocols.

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Epidemiology, identification, treatment and return to play of musculoskeletal-based ice hockey injuries

Abstract: Level IV.

Cited by 45 publications

References 49 publications

2016 Consensus statement on return to sport from the First World Congress in Sports Physical Therapy, Bern

2016 Consensus statement on return to sport from the First World Congress in Sports Physical Therapy, Bern

Injuries in world junior ice hockey championships between 2006 and 2015

Injuries in women's international ice hockey: an 8-year study of the World Championship tournaments and Olympic Winter Games

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