yogabook / pathologie / contusion

contusion

Definition of

blunt force trauma, i.e. a fall, blow, impact or collision. Does not have to be visible from the outside, usually hardly any injury to the skin. Small vessels rupture, resulting in a painful hematoma. Collagen fibers of the connective tissue also tear. One of the most common sports injuries. Distinguish

1. Muscle contusion: formation of a hematoma between the individual muscle fibers
2. Bonebruise: Formation of a hematoma between bone and periosteum
3. Joint contusion (see there)
4. Soft tissue contusion: formation of a hematoma in the skin and possible damage to internal organs, e.g. rupture of the spleen

ICD S00 – S90, T14

Cause

1. direct trauma

Symptoms

1. Hematoma
2. Tissue edema
3. Moderate to severe pressure pain
4. Pressure soreness
5. Painful movements
6. In case of joint contusion: painful restriction of movement
7. for rib contusions: Pain when breathing (DD rib fracture, pneumothorax)

Complications

1. Compartment syndrome
2. In the case of muscle contusion: soft tissue ossification (ossification: „heterotopic ossification“)

Therapy

1. PECH:
2. no massages !!!
3. Analgesics: Paracetamol, ibuprofen, diclofenac
4. Usually heals spontaneously within approx. 6 weeks, most of the pain is gone after just a few days
5. Severe contusions may require surgical intervention

NHK

1. Arnica as globules and locally as tincture

DD

1. Fractures
2. Joint injuries