MyMediktor - Hand trauma - Hand contusion

Very low urgency

--

Non-penetrating injury caused by a blow of mild to medium intensity to the hand.

The blow is caused generally by a hard, blunt object. Most common causes of it are contact sports traumatisms, car accidents, and labour and domestic accidents.

It manifests with an intense pain in the hand, bruising and swelling that may hinder movement.

The diagnosis is clinical through a questioning of the episode and a hand examination.

The treatment is symptomatic, with local cold therapy and anti-inflammatory drugs.

Bibliographic references

Doctors and editors of UpToDate. Patient education: Taking care of bruises (The Basics).
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.
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.
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

Symptoms

Pain in the hand

Swollen limb

Swelling

Swollen hand

Bruising around the injury

Symptoms to watch out for

The bruise doesn't disappear and/or worsens after a week

Pain that doesn't subside with analgesics

Inability to move the extremity

Self-care

Consume over-the-counter pain relievers or anti-inflammatories.

Apply local cold in the area of the lesion 3 times a day to reduce inflammation.

Keep the limb raised

Avoid doing abrupt movements.