Abstract
Objective
We aim to assess the efficacy of widespread visor adoption by assessing eye injury
rates during the 2010–2018 seasons. We also compare injury rates, missed games, and
financial losses to previously reported data in order to track progress over time.
Lastly, we characterize the mechanism and type of eye injuries sustained by National
Hockey League (NHL) players to examine risk areas within NHL games.
Design
We performed a retrospective review of NHL player injuries using official NHL team
reports, ProSportsTransactions, and TSN Sports.
Participants
All NHL players who suffered an eye injury from 2010 to 2018 were included; 31 injuries
matched this criterion.
Methods
Trends in injuries, missed games, and financial losses over time were analyzed using
Pearson's correlation coefficients. Wilcoxon-Mann-Whitney tests were performed to
compare our data with eye injury data. Fisher's exact test was performed to assess
significance between mechanism and type of eye injury and outcome.
Results
There were 31 total eye injuries causing 233 missed games and a total of US$8 951 000
in financial losses across the 2010–2018 seasons. There was a strong decrease in the
number of eye injuries (r = −0.83, p = 0.01) and a moderate decrease in number of missed games (r = −0.62, p = 0.09). Injuries due to direct puck strikes contributed to over US$6.5 million in
financial losses and led to significantly more missed games compared with stick injuries
(14.6 vs 4.3).
Conclusion
We tangibly demonstrate the financial and physical effects of recent safety interventions
and indicate areas for improved safety in the NHL.
Résumé
Objectif
Nous souhaitions évaluer l'efficacité de l'utilisation à grande échelle d'une visière
en déterminant le taux de blessures oculaires pendant les saisons 2010–2018. Nous
avons également comparé les taux de blessures, de parties manquées et de pertes financières,
comparativement aux données antérieures, afin de mesurer l’évolution de la situation
au fil du temps. Enfin, nous avons entrepris de décrire le type de lésions oculaires
et le mécanisme à l'origine de ces lésions chez des joueurs de la Ligue nationale
de hockey (LNH) afin de cerner les zones à risque lors des parties de la LNH.
Nature
Nous avons procédé à une revue de synthèse rétrospective des blessures subies par
des joueurs de la LNH à partir des rapports d’équipes officiels de la LNH, des archives
Pro Sports Transactions et de la chaîne TSN Sports.
Participants
Tous les joueurs de la LNH qui ont subi une blessure oculaire entre 2010 et 2018 ont
été inclus; de ce nombre, 31 blessures répondaient à notre critère.
Méthodes
On a utilisé les coefficients de corrélation de Pearson pour analyser les tendances
en matière de blessures, de parties manquées et de pertes financières au fil du temps.
Les tests de Wilcoxon-Mann-Whitney ont servi à comparer nos données et les données
sur les blessures oculaires. Enfin, le test exact de Fisher a permis d’évaluer le
lien entre le mécanisme à l'origine des blessures oculaires et le type de lésions,
d'une part, et les conséquences de ces lésions, d'autre part.
Résultats
Il s'est produit 31 blessures oculaires qui ont entraîné 233 parties manquées et des
pertes financières totales de 8 951 000 US$ pour les saisons 2010–2018. On a enregistré
une baisse notable du nombre de blessures oculaires (r = −0,83; p = 0,01) et une diminution modérée du nombre de parties manquées (r = −0,62; p = 0,09). Les blessures causées par un impact direct de la rondelle ont été responsables
de pertes financières de plus de 6,5 millions de $US et ont entraîné significativement
plus de parties manquées que les blessures par bâton de hockey (14,6 vs 4,3).
Conclusion
Nous avons pu démontrer de façon tangible les effets physiques et financiers des interventions
récentes en matière de sécurité et avons cerné des zones d'amélioration de la sécurité
au sein de la LNH.
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References
Mcgran K.Place in trivia history awaits NHL's last visor-less player. http://www.thestar.com/sports/hockey/2013/06/05/place_in_trivia_history_awaits_nhls_last_visorless_player.html; 2013 (accessed 15 May 2020).
- The financial toll of career-ending concussions in professional hockey.Concussion. 2016; 1: CNC20
- Impact of visors on eye and orbital injuries in the National Hockey League.Can J Opthalmol. 2014; 49: 243-248
- Is it cost-effective to require recreational ice hockey players to wear face protection?.South Med J. 2008; 101: 991-995
ODPHP. Simple steps to prevent eye injuries in sports – news & events. https://health.gov/news-archive/blog/2014/10/simple-steps-to-prevent-eye-injuries-in-sports/index.html; 2018(accessed 13 May 2020).
- Ocular injuries from violence treated at an inner city hospital.J Trauma. 1994; 37: 5-8
- Eye injuries in Victoria, Australia.Med J Austral. 1995; 162: 64-68
- The effect of visors on head and facial injury in National Hockey League players.J Sci Med Sport. 2006; 9: 238-242
Pro Sports Transactions Archive. https://www.prosportstransactions.com/ (accessed May 5, 2020).
TSN. NHL National Hockey League teams, score, stats, news, standings, rumours. https://www.tsn.ca/nhl; 2020 (accessed 8 May 2020).
- Characterizing craniomaxillofacial injuries in American professional sports leagues.J Oral Maxillofac Surg. 2020; 78: 588-593
- “Let ’em Play”: a study in the jurisprudence of sport.Faculty Scholarship Penn Law. 2011; 1465: 1335-1336
NHL. 2017-18 NHL rule changes. https://media.nhl.com/site/asset/public/ext/2017-18/Season-Opening%20Package/RuleChanges.pdf; 2018 (accessed 13 May 2020).
Proteau A.Visor usage in NHL levels off. https://thehockeynews.com/news/article/visor-usage-in-nhl-levels-off; 2010 (accessed 15 May 2020).
- Hockey and philosophy.University of Ottawa Press, Ottawa2015
- Only a few NHLers play without a visor.Sports Illustrated. October 7, 2017; (accessed 5 May 2020)
- Ice Hockey: Science on Ice.Lucent Press, New York2018
- Fundamentals of Sports Injury Management.Lippincott Williams & Wilkins, Philadelphia2003
- Sports related ocular injuries.Med J Armed Forces India. 2012; 68: 260-266
Simon. Why NHL players don't wear cages? (Real Reason) – BS Hockey. https://bshockey.com/can-nhl-players-wear-cages/; 2020 (accessed 10 May 2020).
- Head and neck injuries among ice hockey players wearing full face shields vs half face shields.JAMA. 1999; 282: 2328-2332
- Head, face, and eye injuries in collegiate women's field hockey.Am J Sports Med. 2015; 43: 2027-2034
- Eye protection and risk of eye injuries in high school field hockey.Pediatrics. 2015; 136: 521-527
- Injuries in world junior ice hockey championships between 2006 and 2015.Br J Sports Med. 2017; 51: 36-43
- Injuries in women's international ice hockey: an 8-year study of the world championship tournaments and Olympic winter games.Br J Sports Med. 2016; 50: 1406-1412
- Injuries in men's international ice hockey: a 7-year study of the International Ice Hockey Federation Adult World Championship tournaments and Olympic winter games.Br J Sports Med. 2015; 49: 30-36
- Ocular and facial injuries sustained by goaltenders in the National Hockey League: a preventable problem.Can J Opthalmol. 2020; 55: 68-70
- Visor use among National Hockey League players and its relationship to on-ice performance.Inj Prev. 2016; 22: 392-395
- Factors influencing visor use among players in the National Hockey League (NHL).Open Access J Sports Med. 2014; 5: 43-46
Article info
Publication history
Published online: September 10, 2020
Accepted:
August 13,
2020
Received in revised form:
August 3,
2020
Received:
May 28,
2020
Identification
Copyright
© 2020 Canadian Ophthalmological Society. Published by Elsevier Inc. All rights reserved.
