This review summarizes the published reports of ice hockey injuries sustained by junior level or higher players dating between 1952 and 2000. North American and European results were compared wherever possible. Considerable changes in the general injury profile distribution (i.e., injury location, diagnosis or type, and mechanism) have taken place particularly since the introduction of helmets, facemasks, and the high sticking rule. In brief, the percentages of head and face injuries, lacerations, and injuries caused by the stick have decreased substantially. Conversely, shoulder and knee injuries, contusions, as well as injuries caused through player-player contacts (i.e., checking, being checked, accidental, or intentional) have substantially increased.