{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T03:56:37Z","timestamp":1793073397316,"version":"4.5.0"},"reference-count":17,"publisher":"BMJ","issue":"7","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Br J Sports Med"],"accepted":{"date-parts":[[2012,3,8]]},"published-print":{"date-parts":[[2012,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To assess the injury incidence in elite handball, and if gender and previous injuries are risk factors for new injuries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Cohort study of 517 male and female elite handball players (age groups under (u)16, u-18 and senior). Participants completed a web survey establishing injury history, demographic information and sports experience, and provided weekly reports of time-loss injuries and handball exposure for 31 weeks by short message service text messaging (SMS). Injuries were further classified by telephone interview.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The weekly response rate ranged from 85% to 90% illustrating the promise of the SMS system as a tool in injury surveillance. Of 448 reported injuries, 165 injuries (37%) were overuse injuries and 283 (63%) traumatic injuries. Knee (19%) and ankle (29%) were the most common traumatic injuries. The injury incidence during match play was 23.5 (95% CI 17.8 to 30.4), 15.1 (95% CI 9.7 to 22.2), 11.1 (95% CI 7.0 to 16.6) injuries per 1000 match hours among senior, u-18 and u-16 players, respectively. U-18 male players had an overall 1.76 (95% CI 1.10 to 2.80) times higher risk of injury compared to females. Having had two or more previous injuries causing absence from handball for more than 4 weeks increased the risk of new injury in the u-16 group (IRR: 1.79 (95% CI 1.03 to 3.11)\u20132.23 (95% CI 1.22 to 4.10)).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The incidence of time-loss injuries in elite handball was higher during match play than previously reported in recreational handball. Previous injuries were a risk factor for new injuries among u-16 players. Male players had a significant higher injury rate in the u-18 group.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bjsports-2012-091022","type":"journal-article","created":{"date-parts":[[2012,6,2]],"date-time":"2012-06-02T02:06:21Z","timestamp":1338602781000},"page":"531-537","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":192,"title":["Injury risk in Danish youth and senior elite handball using a new SMS text messages approach"],"prefix":"10.1136","volume":"46","author":[{"given":"Merete","family":"Moller","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jorn","family":"Attermann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grethe","family":"Myklebust","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niels","family":"Wedderkopp","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2012,5,3]]},"reference":[{"key":"2026061207050660000_46.7.531.1","doi-asserted-by":"crossref","unstructured":"Myklebust G . Team Handball(Handball). In: Caine DJHP Schiff MA . Epidemiology of injury in Olympic Sports. The Encyclopaedia of Sports Medicine Wiley-Blackwell 2009:260\u201377.","DOI":"10.1002\/9781444316872.ch20"},{"key":"2026061207050660000_46.7.531.2","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0838.2000.010002090.x"},{"key":"2026061207050660000_46.7.531.3","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.18.2.59"},{"key":"2026061207050660000_46.7.531.4","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1055\/s-2007-1025037","article-title":"An epidemiologic and traumatologic study of injuries in handball.","volume":"9","author":"Nielsen","year":"1988","journal-title":"Int J Sports Med"},{"key":"2026061207050660000_46.7.531.5","doi-asserted-by":"publisher","DOI":"10.1055\/s-2003-42149"},{"key":"2026061207050660000_46.7.531.6","doi-asserted-by":"crossref","first-page":"342","DOI":"10.1111\/j.1600-0838.1997.tb00164.x","article-title":"Injuries in young female players in European team handball.","volume":"7","author":"Wedderkopp","year":"1997","journal-title":"Scand J Med Sci Sports"},{"key":"2026061207050660000_46.7.531.7","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1111\/j.1600-0838.1999.tb00205.x","article-title":"Prevention of injuries in young female players in European team handball. 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A one-year prospective study of sixteen men's senior teams of a superior nonprofessional level.","volume":"26","author":"Seil","year":"1998","journal-title":"Am J Sports Med"},{"key":"2026061207050660000_46.7.531.10","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0838.2005.00484.x"},{"key":"2026061207050660000_46.7.531.11","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.38330.632801.8F"},{"key":"2026061207050660000_46.7.531.12","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.24.1.51"},{"key":"2026061207050660000_46.7.531.13","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/j.jsams.2006.02.009","article-title":"A new framework for research leading to sports injury prevention","volume":"9","author":"Finch","year":"2006","journal-title":"J Sci Med Sport"},{"key":"2026061207050660000_46.7.531.14","doi-asserted-by":"crossref","unstructured":"Nilstad A Bahr R Andersen TE . Text messaging as a new method for injury registration in sports \u2013 A methodological study in elite female football. SJMSS 2012 (In press).","DOI":"10.1111\/j.1600-0838.2012.01471.x"},{"key":"2026061207050660000_46.7.531.15","doi-asserted-by":"publisher","DOI":"10.1097\/00042752-200603000-00003"},{"key":"2026061207050660000_46.7.531.16","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.2008.048934"},{"key":"2026061207050660000_46.7.531.17","doi-asserted-by":"publisher","DOI":"10.1097\/00042752-200303000-00002"}],"container-title":["British Journal of Sports Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bjsports-2012-091022","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T14:06:25Z","timestamp":1781273185000},"score":1,"resource":{"primary":{"URL":"https:\/\/bjsm.bmj.com\/lookup\/doi\/10.1136\/bjsports-2012-091022"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,5,3]]},"references-count":17,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2012,6,1]]},"published-print":{"date-parts":[[2012,6]]}},"alternative-id":["10.1136\/bjsports-2012-091022"],"URL":"https:\/\/doi.org\/10.1136\/bjsports-2012-091022","relation":{},"ISSN":["0306-3674","1473-0480"],"issn-type":[{"value":"0306-3674","type":"print"},{"value":"1473-0480","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,5,3]]}}}