Each year, almost 87,000 hockey-related injuries to youths under age 15 are treated in hospitals, doctors' offices, clinics, ambulatory surgery centers and hospital emergency rooms. The total cost of these hockey-related injuries was more than $978 million in 2006. This amount includes medical, legal and liability, work loss, and pain and suffering costs.

• Ice hockey involves a significant risk of injury for players of all ages.
  
  

• Ice hockey is the second leading cause of winter sports injury among children.
  
  

• The most common types of injuries are sprains (bruises) to the thigh, knee, and ankle. Lower extremity injuries account for about one-third of the injuries.
  
  

• There is a high rate of facial lacerations and head injuries (including concussions).
  
  

• Cases of paralysis and death resulting from head (Second Impact Syndrome), neck, heart, (Sudden Cardiac Arrest and commotio cordis) and spinal cord injuries have been reported, but such catastrophic injuries are rare.
  
  

• Body checking is the most common cause of injuries and is also associated with the more severe injuries. Many of the players injured by body checking are hurt as a result of collisions with goal posts or the boards. Contact between opponents, usually in the form of body checking, is associated with 46 percent of all minor injuries and 75 percent of major injuries.
  
  

• Safety gear and changes in the rules of play have significantly reduced both the number and severity of injuries:
  
  

  • Many head injuries have been prevented by the use of helmets and the elimination of body checking.
    
    

  • A reduction in eye injuries has occurred through the addition of full-face guards on helmets and the stricter enforcement of penalties for high sticking.
    
    

  • Neck guards have reduced the number of both soft tissue and spinal injuries.

Most youth leagues and some high school leagues currently require these safety measures. Other leagues recommend these measures, but are lax on enforcement. A much greater reduction in injuries could be achieved if all amateur - and professional - leagues mandated these safety practices.

While injuries are common and can be severe, many can be prevented if players wear all recommended safety equipment and avoid moves like body checking that increase the risk of injury. To help your child avoid injury while playing ice hockey, follow these safety tips from the American Academy of Pediatrics, the American Academy of Orthopedic Surgeons, USA Hockey, and other sports and health organizations:

• Get a physical. Before your child starts a training program or plays competitive ice hockey, he should get a complete physical exam. Your pediatrician can help assess any special injury risks your child may have.

• Make sure your child wears all the required safety gear every time he or she plays and practices. All youth, high school, and college ice hockey leagues require players to wear the following gear:

  • Helmet with foam lining, full-face mask, with chin strap properly fastened
    
    

  • Mouth guard
    
    

  • Shoulder, knee, elbow, shin, hip, and tendon pads
    
    

  • Padded hockey pants
    
    

  • Athletic supporter
    
    

  • Gloves
    
    

  • Safety glasses or contact lenses

  Some leagues recommend neck guards. All equipment should be certified by the HECC (Hockey Equipment Certification Council), the CSA (Canadian Standards Association), or the ASTM (American Society for Testing and Materials).
  
  

• Make sure your child's equipment fits properly. The helmet should fit snugly with a strap that gently cradles the chin when it's fastened.
  
  

• Insist that your child warm up and stretch before playing. Exercises that strengthen the neck and increase flexibility may help prevent injuries.
  
  

• Teach your child not to play through pain. If your child gets injured, see your doctor. Follow all the doctor's orders for recovery, and get the doctor's OK before your child returns to play.
  
  

• Make sure first aid is available at all games and practices. And, insist that the rink is equipped with Automated External Defibrillators (AED)
  
  

• Talk to and watch your child's coach. Coaches should:
  
  

  • Enforce all the rules of the game
    
    

  • Encourage safe play
    
    

  • Understand the special injury risks that young players face.
    
    

  • Limit body checking (some youth leagues prohibit it). Checking from behind should never be allowed. This move, which is an illegal play, has been associated with a high rate of injury.

  
  
  

• Teach your child to avoid head contact with the boards or other players. Serious head and neck injuries can occur from this kind of contact.
  
  

• Above all, keep ice hockey fun. Putting too much focus on winning can make your child push too hard and risk injury.

Note from MomsTeam Health & Safety Editor, Lindsay Barton: To read the detailed information for each of the underlines phrases please visit www.MomsTeam.com Ice Hockey Home Page.

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