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Identifying Prevention Strategies for Ice Hockey Laceration Injuries.

Randi N DeLong1, Brianna Brookhart1, Chelsea Martin1

  • 1National Center for Catastrophic Sport Injury Research, UNC Chapel Hill, Chapel Hill, NC.

Sports Health
|December 13, 2025
PubMed
Summary
This summary is machine-generated.

Ice hockey lacerations, especially to the neck, pose a severe risk, with skates being the primary cause. Implementing mandatory neck protection and other Haddon Matrix-based strategies can significantly improve player safety in this dangerous sport.

Keywords:
hockeyinjurieslacerationsprevention

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Area of Science:

  • Sports Medicine
  • Injury Prevention
  • Trauma Surgery

Background:

  • Governing bodies like USA Hockey and the International Ice Hockey Federation are mandating neck guards starting August 2024.
  • These mandates currently exclude National Hockey League (NHL) and National Collegiate Athletic Association (NCAA) players.
  • Ice hockey presents inherent risks for severe laceration injuries.

Purpose of the Study:

  • To document life-threatening laceration injuries in ice hockey.
  • To identify effective prevention strategies for these injuries.

Main Methods:

  • Review of case summaries from the National Center for Catastrophic Sport Injury Research (NCCSIR) for catastrophic ice hockey lacerations (1982-2025).
  • Analysis of injury mechanisms, neck protection use, and outcomes.
  • Application of the Haddon Matrix to develop preventative strategies across pre-event, event, and post-event phases.

Main Results:

  • 26 catastrophic laceration injuries were recorded, with skates causing 92% (24 cases).
  • The neck was the most frequently injured body part (15 cases, 58%).
  • Five fatalities (19%) occurred, three in athletes not wearing neck protection.

Conclusions:

  • Ice hockey carries a high risk of severe and fatal lacerations.
  • The Haddon Matrix is a useful framework for developing preventive measures against life-threatening ice hockey injuries.
  • Further research is needed to evaluate the efficacy of proposed safety strategies.