One ankle sprain every nine matches. That is, broadly, the bill elite handball pays for a gesture as everyday as a change of direction. A biomechanical study published in November 2025 in Sports Biomechanics has just put numbers and frames to what many coaches have suspected for years: the shoe not only protects, it can also be at the origin of the injury. And the market for specialist footwear, with launches such as the new Adidas Novaflight 2, keeps selling speed and grip without fully solving that problem.
The ankle, the link that always gives way
The numbers have been saying the same thing for a decade. The reference study in Spain, published in Apunts Sports Medicine on 496 players from a southern European club over five seasons, recorded 557 injuries in 117,723 hours of exposure. The ankle accounted for 18.1% of all of them, ahead of the knee (15.3%), the thigh (12.9%) and the lower back (10.6%). Among ligament injuries, ankle sprains represented 51.3% of the total, with an average of 9.2 days of absence per episode.
This is neither an isolated nor an old finding. A recent systematic review on basketball, handball and volleyball —sports with similar cutting and braking patterns— again places lower-limb injuries as the most prevalent in the group. The pattern repeats season after season because the gesture that causes it (fake-and-cut, sudden braking, change of footing) is structural to the game. You cannot train to eliminate it. You can only try to protect the point of support better.
What the 2025 biomechanical study reveals
This is where the work of Bagehorn, Bill, Mai, Krosshaug and Kersting (Aalborg University, German Sport University Cologne and the Oslo Sports Trauma Research Center) contributes something that was scarce: kinematic and kinetic data from a real sprain, not a simulated one, recorded during a handball-specific cutting movement in a female player.
The researchers compared the injury trial with six earlier attempts by the same athlete. The plantarflexion, inversion and internal rotation angles of the injured ankle were substantially greater than in the reference attempts, with the peak between 190 and 200 milliseconds after initial ground contact. The inversion and internal rotation moment spiked. But the finding that matters most to whoever designs or chooses a shoe is another: the traction coefficient at initial contact, together with the ankle and hip position and the stride length, pointed to a "preparatory mismatch" before the foot touched the ground.
"It was not an excess of grip that caused the sprain, but a combination of a poorly prepared footing and a shoe-surface interaction that did not cushion the error."
Translated: the authors themselves conclude that the shoe-court interface must be considered "an important factor" in the injury mechanism. It is the first time this has been documented with biomechanical data from a real accidental sprain in handball, not in a laboratory with controlled protocols.
This connects with a discussion that already exists in sports footwear design: traction is not a variable to be simply maximised. Too much grip at the wrong moment of the footing prevents the foot from sliding slightly to dissipate rotational force, and that rigidity is what ends up loading the anterior talofibular ligament. Devices such as Spraino, a low-friction system developed specifically for indoor court sports, start from this same logic: reducing traction at the critical instant of the lateral footing reduces the incidence of sprains, according to trials published in Foot and Ankle Surgery.
What the market offers in 2026
The current range of handball shoes has not ignored the problem, but neither has it put it at the centre. The best-rated models this year compete mainly on three axes: weight, lateral stability and reactive cushioning. The commercial discourse revolves around explosiveness and energy return, not around the intelligent management of traction on compromised footings.
At the top of the ranking are the Puma Accelerate Nitro SQD 5 —the best handball shoe for wings and backs according to our analysis— and the Adidas Stabil 16, the benchmark for pivots and centre backs who need maximum lateral stability. Both dominate the 2026 technical comparisons.






