Contusion

Question 1

Contusion

Answer 1

Crush injury to soft tissue that could result in damaging mm fibres, capillary rupture, bleeding into subcutaneous tissue of skin, and edema. Skin remains intact.

Question 2

Hematoma

Answer 2

Large area of local hemorrhage following a trauma

Question 3

Causes of Contusion

Answer 3

• trauma, due to direct blow
• can get other injuries as well (strain, sprain, fracture, etc.)

Question 4

First 24 hours post-injury

Answer 4

• most critical, primary goal is to control the bleeding

Question 5

Factors that may increase bleeding

Answer 5

• exercising
• heat
• alcohol intake
• blood thinning meds
• vigorous massage

Question 6

Contusion colours for stages

Answer 6

Acute = red/black/blue
Subacute = purple & black to brown, yellow or green discolouration

Question 7

Tx Goals: Acute, Subacute, Chronic

Answer 7

Acute - no onsite work
Subacute - maintain proximal circul. and ROM
Chronic - increase ROM & Strength/function

Question 8

Hydrotherapy for Contusions

Answer 8

Acute - ice to decrease inflammation/swelling
Subacute - contrast to help aid venous return
Chronic - heat to help increase pliability of adhesions

Question 9

Contraindications for Contusions

Answer 9

• meds
• no manual therapy
• do not disturb clotting process
• no aggressive testing
• dont decrease protective mm spasm in acute
• no local work for myositis ossificans
• no heat or contrast hydro for moderate/severe in first 3-5 days (risk of re-bleeding