Leg trauma - Lower limb contusion

Very low urgency
Common-

It is a direct blow of low or medium intensity on one or both legs, causing severe pain that increases with walking, bruising and swelling.

It is usually caused by a fall or by a direct blow with a hard object with a blunt surface. The most frequent causes are trauma in contact sports, other sports, industrial accidents and domestic accidents.

It manifests with intense pain that may increase when walking, making movement difficult. It may be accompanied by hematoma and swelling.  

Diagnosis is made by clinical history and examination of the leg.

Treatment is aimed at soothing the pain with the usual analgesics. At the moment of impact, indirect local cold can be applied to reduce inflammation and pain. 

Bibliographic references
  1. Timothy J Von Fange. Quadriceps muscle and tendon injuries. UpToDate. May 06, 2016.
  2. Wheeless CR. Quadriceps muscle. In: Wheeless' Textbook of Orthopaedics. Duke Orthopaedics. January 2, 2013. http://www.wheelessonline.com/ortho/quadriceps_muscle (Accessed on August 11, 2014).
  3. Miller M. Quadriceps contusions and myositis ossificans. In: DeLee & Drez’s Orthopaedic Sports Medicine: Principles and Practices, 3rd ed, DeLee JC, Drez D, Miller MD (Eds), Saunders, Philadelphia 2009. Vol 2, p.1481.
  4. Kary JM. Diagnosis and management of quadriceps strains and contusions. Curr Rev Musculoskelet Med 2010; 3:26.
Author
Dr. Sara Vitoria
Copyright
© TeckelMedical 2026

Symptoms

    Pain in lower limb


    Swollen limb


    Leg pain


    Swollen leg


    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.