Injury Patterns in Portuguese Under-23 and Senior Rink Hockey Athletes: A Retrospective Cross-Sectional Study

Background: Rink Hockey is a high-intensity contact sport with growing participation in Portugal, yet epidemiological data on injuries among senior and under-23 practitioners remain scarce. This study aimed to retrospectively describe self-reported injury occurrence, injury characteristics, and potential associations with demographic and sport-related variables among Portuguese Rink Hockey athletes. Methods: A retrospective, cross-sectional, self-reported e-survey was conducted among federated Portuguese Rink Hockey practitioners (under-23 and senior categories) during the 2024/2025 season. The questionnaire included 53 closed-ended items on sociodemographics, sport participation, equipment, training loads, and injury history. Injury prevalence, incidence rate, mean injuries per athlete, and associations were analyzed. Results: Among 181 respondents (68.5% male; age 22.3 ± 4.3 years; experience 15.8 ± 5.0 years), 89 (49.2%) reported at least one injury (mean 2.6 ± 2.7 injuries/athlete in the total sample; 3.3 ± 3.1 per injured athlete). Estimated incidence was 3.9 ± 5.9 injuries/1000 h (total sample) and 7.9 ± 6.2/1000 h (injured athletes). The knee (19.1%) was the most common injury localization, and muscular injuries (25.8%) were the most frequent type. Most injuries occurred during matches (46.0%), with contact with another player (27.0%) during offensive transition (40.4%) in areas surrounding the goal (57.3%) being the most frequently reported circumstances. Older and female athletes reported a higher injury prevalence than younger and males counterparts (66.7% vs. 33.3% [p = 0.042; ES = 0.174] and 61.4% vs. 43.5% [p = 0.026; ES = 0.166], respectively). Injury occurrence was positively associated with age (r = 0.262-0.158, p ≤ 0.05) and playing experience (r = 0.157, p ≤ 0.05). However, greater playing experience was associated with lower odds of joint injury (11-15 years: OR = 0.116, 95% CI [0.019; 0.695], p = 0.018; 16-19 years: OR = 0.116, 95% CI [0.019; 0.695], p = 0.018; and ≥20 years: OR = 0.056, 95% CI [0.006; 0.534], p = 0.012). Conclusions: Portuguese Rink Hockey practitioners exhibit a high injury burden, predominantly affecting the knee, with muscle injuries and contact/overuse mechanisms as major contributors. Age, sex, and experience were associated with injury occurrence. These findings may support the incorporation of targeted prevention strategies into multidisciplinary support teams.