Objectives: Short-Track Speed Skating (STSS) is a high-intensity ice sport characterized by fast-paced races and proximity among athletes, which inherently poses a risk for falls and injuries. This paper presents a comprehensive analysis of orthopedic-traumatological injuries in German national STSS athletes with comparisons to previous studies. Design: Retrospective analysis. Methods: Medical records of 69 athletes (30 females, 39 males) who were part of the German national team between 2009 and 2020 were analyzed retrospectively based on a new standardized injury surveillance system published by the International Olympic Committee in 2020. Results: The average career duration of athletes on the German STSS national team was 10.9 ​± ​4.4 years, with each athlete accumulating 10,116 ​± ​4326 ​h of exposure to risk during training. A total of 371 orthopedic-traumatological injuries requiring medical consultation (IRMCs) were recorded, with an estimated incidence of 0.53 per 1000 ​h of exposure. 69.8 ​% of the observed injuries affected the lower extremities, primarily involving the knee and ankle. Joint injuries were the leading cause of IRMCs, accounting for 16.3 ​% of cases. The majority of IRMCs occurred during on-ice training (45.0 ​%), followed by off-ice training (30.0 ​%), and competitions (25.0 ​%). Conclusion: This was the first implementation based on a standardized injury surveillance system in STSS. Important information about career-related injuries and injury patterns resulted from the analyses. However, further prospective research is needed to support the prevention of health issues in STSS.