Hand trauma - Hand contusion

Very low urgency
--
This is a type of non-penetrating injury caused by a blow of mild to medium intensity to the hand with a hard, blunt object. It manifests with an intense pain in the hand and bruising and swelling that may hinder movement. The diagnosis is clinical and treatment is symptomatic, with local cold therapy and anti-inflammatory drugs.
Bibliographic references
  1. Doctors and editors of UpToDate. Patient education: Taking care of bruises (The Basics).
  2. O'Kane JW, Levy MR, Pietila KE, et al. Survey of injuries in Seattle area levels 4 to 10 female club gymnasts. Clin J Sport Med 2011; 21:486.
  3. Cates RA, Rhee PC, Kakar S. Multiple Volar Carpometacarpal Dislocations: Case Report/Review of the Literature. J Wrist Surg. 2016 Aug;5(3):236-40.
  4. Schultzel M, Schultzel M, Wentz B, Bernhardt M. The prevalence of injury in Kendo. Phys Sportsmed. 2016;44(1):29-33.
Author
Dr. Sara Vitoria
Copyright
© TeckelMedical 2026

Symptoms

    Pain in the hand


    Swollen limb


    Swelling


    Swollen hand


    Bruising around the injury

Symptoms to watch out for

The bruise does not disappear and/or worsens after 1 week
Pain that does not subside with analgesics.
Inability to move the extremity

Self-care

Take over-the-counter pain relievers or anti-inflammatories.
Apply local cold to the injured area 3 times a day to reduce inflammation.
Keep the limb raised
Avoid sudden movements.