scholarly journals Ice Hockey Injuries in a Japanese Elite Team: A 3-Year Prospective Study

2009 ◽  
Vol 44 (2) ◽  
pp. 208-214 ◽  
Author(s):  
Kenji Kuzuhara ◽  
Hideki Shimamoto ◽  
Yasuyoshi Mase
Keyword(s):  
Injury Rate ◽  
Ice Hockey ◽  
Time Loss ◽  
Injury Rates ◽  
Hockey Players ◽  
Cohort Study Design ◽  
Observational Cohort ◽  
Player Game ◽  
Ice Hockey Injuries ◽  
Injury Reporting

Abstract Context: As the Asian Ice Hockey League gradually expands and becomes more competitive, ice hockey-related injuries may increase. However, no reports have been published on ice hockey injuries in Japan, including the method of injury and the daily supervision of the players during the regular season. Objective: To prospectively study the incidence, types, and mechanisms of ice hockey injuries in an elite Japanese ice hockey team. Design: Prospective observational cohort study design. Setting: An elite ice hockey team, Tokyo, Japan. Patients or Other Participants: Ninety-four players during the 2002–2005 seasons. Main Outcome Measure(s): Data were collected for 3 consecutive seasons using an injury reporting form. Results: The overall game injury rate was 74.3 per 1000 player-game hours and 11.7 per 1000 player-game hours for injuries resulting in any time loss. The overall practice injury rates were 11.2 per 1000 player-practice hours and 1.1 per 1000 player-practice hours for injuries resulting in any time loss. Forwards had the highest rate of injury, followed by defensemen and then goalkeepers. Contusions were the most common injury, followed by strains, lacerations, and sprains. Conclusions: Most injuries among Japanese ice hockey players occurred during games. Game or play intensity may influence the injury rate during games.

Epidemiology of Upper Extremity Injuries in NCAA Men’s and Women’s Ice Hockey

2018 ◽  
Vol 46 (10) ◽  
pp. 2521-2529 ◽  
Author(s):  
Patricia R. Melvin ◽  
Spenser Souza ◽  
R. Nelson Mead ◽  
Christopher Smith ◽  
Mary K. Mulcahey
Keyword(s):  
Upper Extremity ◽  
Acromioclavicular Joint ◽  
Injury Rate ◽  
Injury Surveillance ◽  
Ice Hockey ◽  
Surveillance Program ◽  
Time Loss ◽  
Injury Rates ◽  
Men And Women ◽  
Hockey Players

Background: Ice hockey is a physically demanding sport where athletes are susceptible to a variety of injuries. Several studies reported the overall injury rates in ice hockey; however, there is a paucity of information on upper extremity (UE) injuries among collegiate ice hockey players. Purpose: To describe the epidemiology of UE injuries among collegiate male and female ice hockey players with NCAA (National Collegiate Athletic Association) injury surveillance data from 2004-2005 to 2013-2014. Study Design: Descriptive epidemiology study. Methods: Data were obtained from the NCAA Injury Surveillance Program for all UE injuries sustained during the academic years 2004-2005 to 2013-2014. Injury rates, rate ratios (RRs), and injury proportion ratios were reported with 95% CIs. Results: During the 10 years studied, the overall rate of UE injuries for men was higher than that for women (236 vs 125 injuries per 100,000 athlete-exposures [AEs]; RR, 1.89; 95% CI, 1.67-2.15). UE injuries sustained during either pre- or postseason were approximately 3 times higher for men than for women (preseason: 149 vs 53 per 100,000 AEs; RR, 2.83; 95% CI, 1.69-4.74; postseason: 143 vs 49 per 100,000 AEs; RR, 2.91; 95% CI, 1.33-6.38). The overall injury rate was highest during the regular season (men: 257 per 100,000 AEs; 95% CI, 242-272; women: 143 per 100,000 AEs; 95% CI, 126-160). Additionally, the injury rate for men and women was higher during competition than practice (men: 733 vs 83 per 100,000 AEs; 95% CI, 687-780 and 75-92; women: 303 vs 64 per 100,000 AEs; 95% CI, 259-348 and 52-76). The most common injury observed was acromioclavicular joint sprain (men, 29.1%; women, 13.8%). For both groups, acromioclavicular joint injuries accounted for most non–time loss, moderate time loss (2-13 days), and severe time loss (≥14 days) injuries. Conclusion: Men and women sustained a significant number of UE injuries playing collegiate ice hockey during the period studied, with acromioclavicular joint sprain being the most common UE injury and the one that most frequently led to significant time loss. These data may provide insight for future injury prevention and guide improvements in training.

scholarly journals Epidemiology of Foot and Ankle Injuries in National Collegiate Athletic Association Men’s and Women’s Ice Hockey

2019 ◽  
Vol 7 (8) ◽  
pp. 232596711986590 ◽  
Author(s):  
Steven G. Crowley ◽  
David P. Trofa ◽  
J. Turner Vosseller ◽  
Prakash Gorroochurn ◽  
Lauren H. Redler ◽  
...  
Keyword(s):  
National Collegiate Athletic Association ◽  
Injury Surveillance ◽  
Ice Hockey ◽  
Ankle Injuries ◽  
Surveillance Program ◽  
Ankle Sprains ◽  
Foot And Ankle ◽  
Time Loss ◽  
Injury Rates ◽  
Hockey Players

Background: Ice hockey is a high-speed contact sport in which athletes are prone to many different injuries. While past studies have examined overall injury rates in ice hockey, foot and ankle injuries among collegiate ice hockey players have yet to be analyzed. Purpose/Hypothesis: The purpose of this study was to elucidate the epidemiology of foot and ankle injuries among collegiate ice hockey players utilizing data from the National Collegiate Athletic Association (NCAA) Injury Surveillance Program. We hypothesized that male ice hockey players would sustain more injuries compared with female ice hockey players and that the injuries sustained would be more severe. Study Design: Descriptive epidemiology study. Methods: Data on all foot and ankle injuries sustained during the academic years 2004 through 2014 were obtained from the NCAA Injury Surveillance Program. Injury rates, rate ratios (RRs), and injury proportion ratios were reported with 95% CIs. Results: Over the study period, the overall rate of foot and ankle injuries for men was higher than that for women (413 vs 103 injuries, respectively; RR, 4.01 [95% CI, 3.23-4.97]). Injury rates were highest during the regular season for both men (358 injuries; RR, 64.78 [95% CI, 58.07-71.49]) and women (89 injuries; RR, 38.37 [95% CI, 30.40-46.35]) compared with the preseason or postseason. The most common injury in men was a foot and/or toe contusion (22.5%), while women most commonly sustained a low ankle sprain (31.1%). For men, foot and/or toe contusions accounted for the most non–time loss (≤24 hours ) and moderate time-loss (2-13 days) injuries, while high ankle sprains accounted for the most severe time-loss (≥14 days) injuries. For women, foot and/or toe contusions accounted for the most non–time loss injuries, low ankle sprains accounted for the most moderate time-loss injuries, and high ankle sprains accounted for the most severe time-loss injuries. Conclusion: Foot and ankle injuries were frequent among collegiate ice hockey players during the period studied. For men, contusions were the most commonly diagnosed injury, although high ankle sprains resulted in the most significant time lost. For women, low ankle sprains were the most common and resulted in the most moderate time lost. These findings may direct future injury prevention and guide improvements in ice skate design.

scholarly journals Sports Medicine Staffing Patterns and Incidence of Injury in Collegiate Men's Ice Hockey

2020 ◽  
Vol 55 (6) ◽  
pp. 587-593 ◽  
Author(s):  
Christine M. Baugh ◽  
Zachary Y. Kerr ◽  
Emily Kroshus ◽  
Bailey L. Lanser ◽  
Tory R. Lindley ◽  
...  
Keyword(s):  
Health Care ◽  
Athletic Trainers ◽  
Ice Hockey ◽  
Injury Incidence ◽  
Graduate Assistant ◽  
Time Loss ◽  
Injury Rates ◽  
Hockey Players ◽  
Patient Load ◽  
Staffing Patterns

Context The relative availability of clinicians as well as the types and training of health care providers have been associated with morbidity and mortality in non-athletic health care settings. Whether staffing variations are associated with injury incidence in collegiate athletes is unknown. Objective To evaluate whether the institutional ratio of athletes to athletic trainers (patient load) or the ratio of staff to nonstaff (graduate assistant and certified intern) athletic trainers or both is associated with the incidence of injuries sustained by male ice hockey athletes at the school. Design Descriptive epidemiology study. Setting National Collegiate Athletic Association (NCAA) men's ice hockey teams. Patients or Other Participants Collegiate men's ice hockey athletes. Main Outcome Measure(s) The NCAA Injury Surveillance Program collected data from collegiate men's ice hockey athletes. Staffing patterns were obtained through telephone interviews. Injury counts, injury rates per 1000 athlete-exposures, and injury rate ratios with 95% confidence intervals were calculated and compared between the following groups: (1) schools with high (versus low) patient load and (2) schools with high (versus low) ratio of staff to nonstaff (graduate assistant and certified intern) athletic trainers. Results Both the patient load and relative number of staff athletic trainers were associated with variations in the incidences and types of diagnosed injuries in male ice hockey players. Specifically, fewer injuries were diagnosed by clinicians at institutions with high patient loads. The rates of injury overall and non–time-loss injuries were lower in the high patient-load group. Time-loss injury rates, severe injury rates, concussion rates, and overall rates of injury during competition were greater in the group with a higher proportion of staff athletic trainers, whereas non–time-loss injury rates were lower. Conclusions In this study of collegiate men's ice hockey players, athlete health outcomes were directly related to the number and types of clinicians available. Future researchers should evaluate whether this finding extends beyond men's ice hockey.

Injury Rates and Profiles in Female Ice Hockey Players

2003 ◽  
Vol 31 (1) ◽  
pp. 47-52 ◽  
Author(s):  
Deanna M. Schick ◽  
Willem H. Meeuwisse
Keyword(s):  
Cohort Study ◽  
Prospective Cohort ◽  
Injury Rate ◽  
Adductor Muscle ◽  
Ice Hockey ◽  
Ankle Sprains ◽  
Severe Injuries ◽  
Body Checking ◽  
Injury Rates ◽  
Hockey Players

Background Little data exist on injury rates and profiles in female ice hockey players. Objective To examine the incidence of injury in female ice hockey players and compare injury rates with those of male players. Study Design Prospective cohort study. Methods Six male and six female teams from the Canada West Universities Athletic Association were followed prospectively for one varsity season. Preseason medical history forms were completed by each player. Injury report forms and attendance records for each team session were submitted by team therapists. Results Male players reported 161 injuries, whereas female players reported 66 injuries. However, the overall injury rates for male (9.19 injuries per 1000 athlete-exposures) and female (7.77 injuries per 1000 athlete-exposures) players did not differ significantly. Ninety-six percent of injuries in female players and 79% in male players were related to contact mechanisms, even though intentional body checking is not allowed in female ice hockey. Women were more likely than men to be injured by contacting the boards or their opponent. Men sustained more severe injuries than women and missed about twice as many sessions (exposures) because of injury. Concussions were the most common injury in female players, followed by ankle sprains, adductor muscle strains, and sacroiliac dysfunction. Conclusion Although the injury rate in female ice hockey players was expected to be lower than that in male players because of the lack of intentional body checking, the injury rates were found to be similar.

scholarly journals Injury Surveillance of Head, Neck, and Facial Injuries in Collegiate Ice Hockey Players, 2009–2010 Through 2013–2014 Academic Years

2017 ◽  
Vol 52 (8) ◽  
pp. 776-784 ◽  
Author(s):  
Molly MacMhathan Simmons ◽  
David I. Swedler ◽  
Zachary Y. Kerr
Keyword(s):  
High Speed ◽  
National Collegiate Athletic Association ◽  
Injury Rate ◽  
Injury Surveillance ◽  
Ice Hockey ◽  
Surveillance Program ◽  
Injury Rates ◽  
Full Contact ◽  
Hockey Players ◽  
Rate Ratios

Context:  Ice hockey is a high-speed, full-contact sport with a high risk of head/face/neck (HFN) injuries. However, men's and women's ice hockey differ; checking is allowed only among men. Objectives:  To describe the epidemiology of HFN injuries in collegiate men's and women's ice hockey during the 2009−2010 through 2013−2014 academic years. Design:  Descriptive epidemiology study. Setting:  Ice hockey data from the National Collegiate Athletic Association (NCAA) Injury Surveillance Program during the 2009−2010 through 2013−2014 academic years. Patients or Other Participants:  Fifty-seven men's and 26 women's collegiate ice hockey programs from all NCAA divisions provided 106 and 51 team-seasons of data, respectively. Main Outcome Measure(s):  Injury rates per 1000 athlete-exposures and rate ratios with 95% confidence intervals (CIs). Results:  The NCAA Injury Surveillance Program reported 496 and 131 HFN injuries in men's and women's ice hockey, respectively. The HFN injury rate was higher in men than in women (1.75 versus 1.16/1000 athlete-exposures; incidence rate ratio = 1.51; 95% CI = 1.25, 1.84). The proportion of HFN injuries from checking was higher in men than in women for competitions (38.5% versus 13.6%; injury proportion ratio = 2.82; 95% CI = 1.64, 4.85) and practices (21.9% versus 2.3%; injury proportion ratio = 9.41; 95% CI = 1.31, 67.69). The most common HFN injury diagnosis was concussion; most concussions occurred in men's competitions from player contact while checking (25.9%). Player contact during general play comprised the largest proportion of concussions in men's practices (25.9%), women's competitions (25.0%), and women's practices (24.0%). While 166 lacerations were reported in men, none were reported in women. In men, most lacerations occurred from player contact during checking in competitions (41.8%) and player contact during general play in practices (15.0%). Conclusions:  A larger proportion of HFN injuries in ice hockey occurred during checking in men versus women. Concussion was the most common HFN injury and was most often due to player contact. Lacerations were reported only among men and were mostly due to checking. Injury-prevention programs should aim to reduce checking-related injuries.

Injury Profile in Ice Hockey from the 1970s through the 1990s in Finland

2000 ◽  
Vol 28 (3) ◽  
pp. 322-327 ◽  
Author(s):  
Jouko Mölsä ◽  
Urho Kujala ◽  
Ove Näsman ◽  
Timo-Pekka Lehtipuu ◽  
Olavi Airaksinen
Keyword(s):  
Injury Rate ◽  
Ice Hockey ◽  
Inclusion Criteria ◽  
Entire Study ◽  
Body Contact ◽  
Hockey Players ◽  
Competition Level ◽  
Rough Body ◽  
Ice Hockey Injuries

The aim of this study was to investigate the incidence, types, and mechanisms of injury in Finnish ice hockey players at the highest competition level in different decades. Several teams were observed prospectively during the seasons between 1976 and 1979, and in the 1988 to 1989 and 1992 to 1993 seasons. An injury was defined as any sudden trauma requiring examination and treatment by a physician. The inclusion criteria were the same during the entire study. A total of 641 injuries were recorded. The injury rate per game increased significantly from 54 per 1000 player-hours in the 1970s to 83 per 1000 player-hours in the 1990s. The injury profile in the 1980s and 1990s differed from that in the 1970s. Per 1000 player-years, the rate of contusions as well as of sprains or strains increased significantly with each decade. Checking and unintentional collision with an opponent were common mechanisms of injury throughout the study, and the rate of injury by these mechanisms has continually increased. In conclusion, we suggest that there has been an increase in rough body contact between players, causing an alarming increase in the rate of ice hockey injuries.

American Collegiate Men's Ice Hockey

2005 ◽  
Vol 33 (2) ◽  
pp. 183-189 ◽  
Author(s):  
Kyle Flik ◽  
Stephen Lyman ◽  
Robert G. Marx
Keyword(s):  
Injury Rate ◽  
Ice Hockey ◽  
Division I ◽  
Ankle Sprains ◽  
Collateral Ligament ◽  
Joint Injuries ◽  
Risk Of Injury ◽  
Physical Play ◽  
Ice Hockey Injuries ◽  
Injury Reporting

Background Reported rates and types of ice hockey injuries have been variable. Ice hockey combines tremendous speeds with aggressive physical play and therefore has great inherent potential for injury. Purpose To identify rates and determinants of injury in American men's collegiate ice hockey. Study Design Prospective cohort study. Methods Data were collected from 8 teams in a Division I athletic conference for 1 season using an injury reporting form specific for ice hockey. Results There were a total of 113 injuries in 23 096 athlete exposures. Sixty-five percent of injuries occurred during games, although games accounted for only 23% of all exposures. The overall injury rate was 4.9 per 1000 athlete exposures (13.8 per 1000 game athlete exposures and 2.2 per 1000 practice athlete exposures). Collision with an opponent (32.8%) or the boards (18.6%) caused more than half of all injuries. Concussion (18.6%) was the most common injury, followed by knee medial collateral ligament sprains, acromioclavicular joint injuries, and ankle sprains. Conclusions The risk of injury in men's collegiate ice hockey is much greater during games than during practices. Concussions are a main cause for time lost and remain an area of major concern.

Body checking in non-elite adolescent ice hockey leagues: it is never too late for policy change aiming to protect the health of adolescents

2021 ◽  
pp. bjsports-2020-103757
Author(s):  
Carolyn A Emery ◽  
Paul Eliason ◽  
Vineetha Warriyar ◽  
Luz Palacios-Derflingher ◽  
Amanda Marie Black ◽  
...  
Keyword(s):  
Policy Change ◽  
Incidence Rate Ratio ◽  
Health Impact ◽  
Ice Hockey ◽  
Injury Incidence ◽  
Time Loss ◽  
Body Checking ◽  
Hockey Players ◽  
Potential Public Health ◽  
Study Physician

ObjectivesThe objective of this study is to evaluate the effect of policy change disallowing body checking in adolescent ice hockey leagues (ages 15–17) on reducing rates of injury and concussion.MethodsThis is a prospective cohort study. Players 15–17 years-old were recruited from teams in non-elite divisions of play (lower 40%–70% by division of play depending on year and city of play in leagues where policy permits or prohibit body checking in Alberta and British Columbia, Canada (2015–18). A validated injury surveillance methodology supported baseline, exposure-hours and injury data collection. Any player with a suspected concussion was referred to a study physician. Primary outcomes include game-related injuries, game-related injuries (>7 days time loss), game-related concussions and game-related concussions (>10 days time loss).Results44 teams (453 player-seasons) from non-body checking and 52 teams (674 player-seasons) from body checking leagues participated. In body checking leagues there were 213 injuries (69 concussions) and in non-body checking leagues 40 injuries (18 concussions) during games. Based on multiple multilevel mixed-effects Poisson regression analyses, policy prohibiting body checking was associated with a lower rate of injury (incidence rate ratio (IRR): 0.38 (95% CI 0.24 to 0.6)) and concussion (IRR: 0.49; 95% CI 0.26 to 0.89). This translates to an absolute rate reduction of 7.82 injuries/1000 game-hours (95% CI 2.74 to 12.9) and the prevention of 7326 injuries (95% CI 2570 to 12083) in Canada annually.ConclusionsThe rate of injury was 62% lower (concussion 51% lower) in leagues not permitting body checking in non-elite 15–17 years old leagues highlighting the potential public health impact of policy prohibiting body checking in older adolescent ice hockey players.

scholarly journals The First Decade of Web-Based Sports Injury Surveillance: Descriptive Epidemiology of Injuries in US High School Boys' Lacrosse (2008–2009 Through 2013–2014) and National Collegiate Athletic Association Men's Lacrosse (2004–2005 Through 2013–2014)

2019 ◽  
Vol 54 (1) ◽  
pp. 30-41 ◽  
Author(s):  
Lauren A. Pierpoint ◽  
Andrew E. Lincoln ◽  
Nina Walker ◽  
Shane V. Caswell ◽  
Dustin W. Currie ◽  
...  
Keyword(s):  
High School ◽  
National Collegiate Athletic Association ◽  
Injury Rate ◽  
Sports Injury ◽  
Injury Surveillance ◽  
Surveillance Program ◽  
Time Loss ◽  
Annual Average ◽  
Injury Rates ◽  
Web Based

ContextThe advent of Web-based sports injury surveillance via programs such as the High School Reporting Information Online system and the National Collegiate Athletic Association Injury Surveillance Program has aided the acquisition of boys' and men's lacrosse injury data.ObjectiveTo describe the epidemiology of injuries sustained in high school boys' lacrosse in the 2008–2009 through 2013–2014 academic years and collegiate men's lacrosse in the 2004–2005 through 2013–2014 academic years using Web-based sports injury surveillance.DesignDescriptive epidemiology study.SettingOnline injury surveillance from lacrosse teams of high school boys (annual average = 55) and collegiate men (annual average = 14).Patients or Other ParticipantsBoys' and men's lacrosse players who participated in practices and competitions during the 2008–2009 through 2013–2014 academic years in high school or the 2004–2005 through 2013–2014 academic years in college.Main Outcome Measure(s)Athletic trainers collected time-loss (≥24 hours) injury and exposure data. Injury rates per 1000 athlete-exposures (AEs), injury rate ratios (IRRs) with 95% confidence intervals (CIs), and injury proportions by body site and diagnosis were calculated.ResultsHigh School Reporting Information Online documented 1407 time-loss injuries during 662 960 AEs. The National Collegiate Athletic Association Injury Surveillance Program documented 1882 time-loss injuries during 390 029 AEs. The total injury rate from 2008–2009 through 2013–2014 was higher in college than in high school (3.77 versus 2.12/1000 AEs; IRR = 1.78; 95% CI = 1.63, 1.94). Most injuries occurred during competitions in high school (61.4%) and practices in college (61.4%). Injury rates were higher in competitions compared with practices in high school (IRR = 3.59; 95% CI = 3.23, 4.00) and college (IRR = 3.38; 95% CI = 3.08, 3.71). Lower limb injuries, muscle strains, and ligament sprains were common at both levels. Concussion was the most frequent competition diagnosis for all high school player positions.ConclusionsRates of time-loss injury were higher in college versus high school and in competitions versus practices. Attention to preventing common lower leg injuries and concussions, especially at the high school level, is essential to decrease their incidence and severity.

scholarly journals Epidemiology of Contact and Non-Contact Ankle Injuries in Collegiate Athletes

2019 ◽  
Vol 4 (4) ◽  
pp. 2473011419S0019
Author(s):  
Javier Z. Guzman ◽  
Kevin K. Chen ◽  
Jimmy J. Chan ◽  
Ettore Vulcano
Keyword(s):  
Group Analysis ◽  
Collegiate Athletes ◽  
Ice Hockey ◽  
Ankle Injury ◽  
Ankle Injuries ◽  
Time Loss ◽  
Injury Rates ◽  
Contact Sports ◽  
Significant Difference ◽  
Ncaa Athletes

Category: Ankle, Sports Introduction/Purpose: Ankle injuries can often have profound implication in the potential careers of National Collegiate Athletic Association (NCAA) athletes. Accordingly, a more thorough characterization of these injuries and insight into injury etiology is warranted. In addition, a more comprehensive understanding will allow proper education of athletes when injuries do occur. Here we review the incidence and effect of ankle injuries on NCAA athletes and their athletic season. Methods: Ankle injuries across 16 collegiate sports played by men and women from 2004-05 to 2013-14 academic years were surveyed from the NCAA Injury Surveillance Program (NCAA-ISP). Ankle injury rates per 10,000 athlete-exposures (IR), operative rate, annual injury rate trends, re-injury rates, in-season status (pre/in/post-season) at time of injury, and time loss distributions were perused. In effort to include both male and female atheletes equally, a sub-group analysis of contact sports played by both genders (C-BG) was performed to determine if there was a significant difference in risk when compared to those athletes that did not play contact sports. These sports included basketball, soccer, lacrosse, and ice hockey. Types of ankle injuries (soft tissues or bony) were also sub-classified and counted. Results: Over the course of 10 years, there were 14,080 ankle injures identified (IR=11.9). There were 8,978 (IR=12.1) injuries in males and 5,102 (IR=11.7) injuries in females. The rate of injuries that occurred in C-BG cohort (IR=14.5) was greater than that of the total group of noncontact participants (IR=7.6). When comparing injury rates between all contact sports(IR=14.1) and all noncontact sports (IR=7.6) the difference was found to be statistically significant(p <0 .0001). In the C-BG group, 1.4% of injuries were operative (N=93). The overall mean time loss for C-BG was 10.9 days when excluding patients who had season ending injuries. Across all atheletes, the top three contact sports with season ending ankle injuries were football, basketball, and lacrosse. Importantly,16.8% of all injuries were classified as re-injuries. Conclusion: Ankle injuries represent a common and broad spectrum of injuries in collegiate athletes. A majority of ankle injuries occurred during the regular season with sprains, strains, contusions, and fractures representing the most common types of injuries. Contact sports tend to have higher rates of ankle injuries than noncontact sports. As the consequence of index ankle injury appears to be higher predisposition to reinjury, a better understanding of the kinds of ankle injuries and their respective causes may help elucidate trends useful in the development of various prevention strategies.

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