Spinal Injuries in Ice Hockey

Tator, Charles H.; Carson, James D.; Edmonds, Virginia E.

doi:10.1016/s0278-5919(05)70072-7

Cited by 71 publications

(61 citation statements)

References 12 publications

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“…3,8,18,22,35 Many studies have described the incidence of brain and spinal cord injuries in ice hockey. 4,6,12,13,18,19,[40][41][42][43][44] Our data are consistent with their findings. We investigated further looking at the distribution by age and found an interesting (although not statistically significant) trend toward increasing incidence of TBI as age decreased.…”

Section: Discussionsupporting

confidence: 90%

“…[28][29][30][31][32][33] This age group has numerous ice hockey participants, 90% of which are male, and checking is allowed in most leagues. 20,34 Checking is a controversial issue in youth ice hockey and may be a contributing factor to these injuries, 4,8,12,17,35 although NEISS does not record this variable specifically. One study of a Minnesota youth hockey league showed that 86% of all injuries involved checking.…”

Section: Discussionmentioning

confidence: 99%

“…3 Previous studies conducted worldwide have shown that the rate of injury increases as the size and the speed of players increase, as well as when checking is allowed. [4][5][6][7][8][9][10][11][12] As standards for helmets and face masks evolved to cover more surface area and to improve safety design, the number of head, eye, and dental injuries decreased; however, the number of spinal cord injuries increased. [13][14][15][16][17] This increase is explained by studies on injury risk perception that have shown up to 55% of youth ice hockey players believe that brain and/or spinal cord injury is impossible while wearing the required protective gear.…”

mentioning

confidence: 99%

“…[3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] In the United States, ice hockey is a popular sport, with Ͼ530 000 registered players, including 370 458 youths, 20 yet no study has evaluated ice hockeyrelated injuries in the United States using a nationally representative database. Data from previous studies [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19]21 were collected from regional tournaments, collegiate teams, local emergency departments (EDs), and different countries. Some studies collected data only on male ice hockey players, 17,22,23 although registration data shows that females account for almost 10% of all ice hockey players in the United States.…”

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confidence: 99%

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Characteristics of Ice Hockey–Related Injuries Treated in US Emergency Departments, 2001–2002

2004

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ABSTRACT. Objective. Ice hockey, a popular sport in some regions, has potential for injury due to the velocities of players, pucks, and sticks. Previous studies conducted worldwide have shown that the rate of injury increases as the size and the speed of players increase, as well as when checking is allowed. However, national data about the annual number and types of injuries among ice hockey players are lacking. Data from previous studies were collected from regional tournaments, collegiate teams, local emergency departments (EDs), and different countries. The purpose of this article is to examine ice hockey injuries using a national US database to determine the age distribution of total injuries, injury types, and body regions injured, with a particular focus on ice hockey players <18 years old.Methods. Data regarding ice hockey-related injuries treated in US EDs between January 1, 2001, and December 31, 2002, were extracted from the National Electronic Injury Surveillance System (NEISS). Data considered included age, gender, race, injury diagnosis, and body region injured. Ice hockey-related injury cases were identified using the consumer product code for ice hockey and the narrative description of the incident in NEISS.Results. An estimated 32 750 individuals with ice hockey-related injuries were treated in US EDs in 2001-2002, including >18 000 youths <18 years old. The number of injuries peak through adolescence (ages 12-17; 47% of all injuries). Males experienced 90% of all injuries. A very small percentage of individuals were hospitalized after injury (1.2% of individuals <18 years old; 0.5% of individuals >18 years old). The incidence of head injuries increased as age decreased, although the trend was not statistically significant. The upper extremity (44%) accounted for the highest total percentages of body regions injured for youths <18 years old, and trunk (14%) and facial injuries (10%) represented the smallest total percentages. Players >18 years old had significantly more lacerations than younger players (38% of injuries for 18-to 24-year-olds; 25% for 25-to 34-year-olds; 50% for 35-to 44-year-olds compared with 19% for 6-to 11-year-olds and 14% for 12-to 17-year-olds). Conclusions. Adolescents had the greatest number of ice hockey-related injuries treated in NEISS hospital

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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confidence: 99%

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Characteristics of Ice Hockey–Related Injuries Treated in US Emergency Departments, 2001–2002

2004

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“…Concerns about injuries related to hockey, however, are common. [1][2][3][4] The Canadian Institute for Health Information estimates that in [2001][2002] there were Ͼ3554 visits to emergency departments in Ontario for hockey-related injuries to children between 10 and 15 years of age. 5 Body checking is a common mechanism of youth ice hockey injuries.…”

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confidence: 99%

Body-Checking Rules and Childhood Injuries in Ice Hockey

2006

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BACKGROUND. Body checking is the predominant mechanism of youth ice hockey injuries. The Canadian Hockey Association has allowed body checking from ages 12 to 13 (peewee level) and up. One Canadian province (Ontario) introduced body checking at ages 10 to 11 (atom level) in the competitive leagues, whereas in Quebec body checking has only been allowed at ages 14 to 15 (bantam Level). The purpose of this study was to compare body-checking injuries, fractures, and concussions in boys' minor hockey between jurisdictions in which checking is allowed and jurisdictions in which body checking is not allowed. METHODS. Data from the Canadian Hospitals Injury Reporting and Prevention Program (CHIRPP) were used to characterize children's ice hockey injuries from September 1995 to the end of August 2002. Children treated at CHIRPP hospitals in areas in which checking was allowed were compared with children in areas in which checking was not allowed. RESULTS. Of the 4736 hockey injuries, 3006 (63%) were in Ontario and 1730 (37%) were in Quebec. Most of the injuries occurred in areas in which checking was allowed (2824 [59.6%]). At ages 10 to 13, players had significantly greater odds of suffering a checking injury where checking was allowed (odds ratio [OR]: 1.86; 95% confidence interval [CI]: 1.6–2.11). Players in this age group were also more likely to suffer a concussion (OR: 1.42; 95% CI: 0.98–2.05) or fracture (OR: 1.25; 95% CI: 1.06–1.47) where checking was allowed. Among older players, when checking was allowed in both provinces, there were higher odds (OR: 1.90; 95% CI: 1.36–2.66) of receiving a checking injury in the province that had introduced checking at a younger age, suggesting that there is no protective effect from learning to check earlier. CONCLUSIONS. Increased injuries attributable to checking were observed where checking was allowed. This study supports policies that disallow body checking to reduce ice hockey injuries in children.

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Cassar‐Pullicino

2010

Sports Injuries in Children and Adolescents

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Spinal Injuries in Ice Hockey

Cited by 71 publications

References 12 publications

Characteristics of Ice Hockey–Related Injuries Treated in US Emergency Departments, 2001–2002

Characteristics of Ice Hockey–Related Injuries Treated in US Emergency Departments, 2001–2002

Body-Checking Rules and Childhood Injuries in Ice Hockey

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