{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T10:51:34Z","timestamp":1773053494655,"version":"3.50.1"},"reference-count":40,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T00:00:00Z","timestamp":1760832000000},"content-version":"vor","delay-in-days":18,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Scandinavian Med Sci Sports"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Understanding injury rates and costs is crucial for targeted prevention, yet data across sports remain sparse. Furthermore, information on the impact of the COVID\u201019 pandemic on injuries across sports is limited. This study aimed to describe injury incidence rates, injured body regions, costs, and mean cost per 1000 athlete year across different sports before and during the COVID\u201019 pandemic. The study analyzed insurance data from licensed Norwegian athletes aged 13\u201350\u2009years participating in football, handball, athletics, gymnastics, and swimming over a four\u2010year period (2017\u20132020). Injury incidence rates, body region, costs, and mean cost per 1000 athlete year, as well as differences in injury rates between sports, sex, age groups, before and during the first year of the COVID\u201019 pandemic were analyzed. Over the full study period, the highest injury incidence rates were found in athletics, followed by handball, compared to football, gymnastics, and swimming. Lower extremity injuries accounted for the highest incidence rates and costs across sports. Surgical interventions in handball and football accounted for more than half of the costs. Over one fifth of injuries in gymnastics led to permanent medical impairment. During the first year of the COVID\u201019 pandemic, the number of licensed athletes and incidence rates decreased, except for athletics, which experienced an increase in both. The findings highlight the need for targeted injury prevention measures, particularly in athletics and for lower extremity injuries in handball and football. The fact that one in five injuries in gymnastics resulted in medical impairment is a cause for concern. The impact of the COVID\u201019 pandemic on sports participation and injury incidence underscores the influence of external factors on sports\u2010related injuries.<\/jats:p>","DOI":"10.1111\/sms.70155","type":"journal-article","created":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T03:24:39Z","timestamp":1760930679000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Sports Injury Patterns and Economic Consequences Before and During the\n                    <scp>COVID<\/scp>\n                    \u201019 Pandemic: A Comprehensive Study of Norwegian Sports From 2017 to 2020 Using Insurance Data"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0692-7494","authenticated-orcid":false,"given":"Grethe","family":"Myklebust","sequence":"first","affiliation":[{"name":"Norwegian School of Sport Sciences Oslo Sport Trauma Research Center, Institute of Sport Medicine  Oslo 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