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Peer-reviewedCC BYBMC sports science, medicine & rehabilitation

Prevalence and symptom severity of thrower's shoulder in elite youth handball players.

  • Leonard Achenbach1
  • Anne Benning2
  • Florian Zeman2
  • Moritz Kaiser3
  • Jonas Limmer4
4 affiliations
  1. 1Department of Orthopedics, König-Ludwig-Haus, Julius-Maximilians-University Würzburg, Brettreichstraße 11, Würzburg, 97074, Germany.
  2. 2Center for Clinical Studies, University Medical Center Regensburg, Regensburg, Germany.
  3. 3Department of Trauma Surgery, University Medical Center Regensburg, Regensburg, Germany.
  4. 4Department of Orthopedics, König-Ludwig-Haus, Julius-Maximilians-University Würzburg, Brettreichstraße 11, Würzburg, 97074, Germany. [email protected].
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Abstract

To identify the prevalence and severity of overuse shoulder symptoms in elite youth handball players. Six-hundred and sixty (52.3% boys) elite youth handball players were followed prospectively for one season during the seasons 2016-17, 2017-18, 2018-19, and 2019-20. Players completed standardized questionnaires throughout the season and reported any overuse shoulder symptoms. The Western Ontario Shoulder Instability Index (WOSI) questionnaire was distributed five times per season. Latent class analysis (LCA) was carried out to identify different symptom patterns. Of 660 athletes, 148 (22.4%) (50% boys, age: 14.1 ± 0.7 years) reported shoulder problems in at least one WOSI questionnaire. The average symptom severity was 457.8 ± 352.0 points (range 4 to 1834). The questions with the highest average scores were about the lack of strength (31.3 ± 27.5), the concern that the shoulder will get worse (29.5 ± 28.5), and clicking, cracking, or snapping of the shoulder (29.3 ± 30.9). No statistically significant sex-related differences were identified across the four WOSI domains. LCA showed no discernible pattern of symptom distribution. The prevalence of overuse shoulder symptoms is high and presents as a multi-faceted problem in elite youth handball. The WOSI questionnaire indicates symptom severity rather than distinct symptom patterns.

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Cite

BibTeXRIS
BibTeX
@article{achenbach2026prevalence,
  title = {{Prevalence and symptom severity of thrower's shoulder in elite youth handball players.}},
  author = {Leonard Achenbach and Anne Benning and Florian Zeman and Moritz Kaiser and Jonas Limmer},
  journal = {BMC sports science, medicine \& rehabilitation},
  year = {2026},
  month = nov,
  doi = {10.1186/s13102-026-02199-2},
  url = {https://europepmc.org/article/MED/42998999},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Prevalence and symptom severity of thrower's shoulder in elite youth handball players.
AU  - Leonard Achenbach
AU  - Anne Benning
AU  - Florian Zeman
AU  - Moritz Kaiser
AU  - Jonas Limmer
PY  - 2026
DA  - 2026/11/07
JO  - BMC sports science, medicine & rehabilitation
DO  - 10.1186/s13102-026-02199-2
UR  - https://europepmc.org/article/MED/42998999
AB  - To identify the prevalence and severity of overuse shoulder symptoms in elite youth handball players. Six-hundred and sixty (52.3% boys) elite youth handball players were followed prospectively for one season during the seasons 2016-17, 2017-18, 2018-19, and 2019-20. Players completed standardized questionnaires throughout the season and reported any overuse shoulder symptoms. The Western Ontario Shoulder Instability Index (WOSI) questionnaire was distributed five times per season. Latent class analysis (LCA) was carried out to identify different symptom patterns. Of 660 athletes, 148 (22.4%) (50% boys, age: 14.1 ± 0.7 years) reported shoulder problems in at least one WOSI questionnaire. The average symptom severity was 457.8 ± 352.0 points (range 4 to 1834). The questions with the highest average scores were about the lack of strength (31.3 ± 27.5), the concern that the shoulder will get worse (29.5 ± 28.5), and clicking, cracking, or snapping of the shoulder (29.3 ± 30.9). No statistically significant sex-related differences were identified across the four WOSI domains. LCA showed no discernible pattern of symptom distribution. The prevalence of overuse shoulder symptoms is high and presents as a multi-faceted problem in elite youth handball. The WOSI questionnaire indicates symptom severity rather than distinct symptom patterns.
SN  - 2052-1847
ER  -