Knee injuries in handball. In Handball sports medicine: Basic science, injury management and return to sport. (Book Chapter)

Knee injuries are frequent in handball, either traumatic or overuse. They represent the highest proportion of severe injuries in terms of time loss from sport, costs, and long-term potential consequences. Ligament and meniscus injuries are responsible for most severe knee injuries in handball with time to return to play often exceeding 6 months. Meniscus tears should not be underestimated as their incorrect decision-making and treatment may compromise the player’s career. Accurate evaluation is essential in both traumatic and overuse knee injuries in handball and must include thorough clinical examination and imaging in order to tailor and provide the best treatment for a safe return to sport at the same level, in both the short term and long term. Several risk factors for knee injuries have been identified. They must be taken in consideration in the development and implementation of prevention programs in handball.