To the Editor.—

In the December 2004 issue of Pediatrics, Hostetler et al described the characteristics of hockey-related injuries through review of the National Electronic Injury Surveillance System and concluded that adolescents between the ages of 12 and 17 years had the greatest incidence of injuries. Although the data are limited by collection through emergency-department records and the data are not divided into traditional age-group classifications as established by USA Hockey (eg, Peewee, Bantam, and Midget age groups), we could not agree more with their conclusions. However, there is more to reducing the number of hockey-related injuries than improvement in hockey gear and reduction in body checking, such as enforcement of USA Hockey rules and placing limits on injury-provoking activities. In 1998, realizing that the 15- to 18-year-old age group was at the greatest risk for hockey-related injuries, we formed a league for Midget-aged players (NorthEastern Midget...

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