How to identify and what to do with an elbow injury: first aid and treatmentAny of us at least once in my life had unpleasant sensations in the elbow after a bruise.
With minor damage, the pain lasts for several minutes, and for serious damage, several hours or days.
Even a small bruise can lead to an inflammatory process, so if the pain lasts more than 10 minutes, consult a doctor.
What the elbow joint consists of
Our elbow consists of 3 different parts, united by one shell( capsule).This is the humerus, elbow and radius. Between them are 3 joints:
- shoulder - ulnar;
- shoulder - beam;
- proximal radial-ulnar
The lower part of the humerus is triangular and connects to the forearm by means of these joints. Under the capsule in which they are located, there is a synovial bag filled with a liquid for the lubrication of bones.
Due to this, the friction between the bones decreases, preventing the wear of joints and bones.
What happens when an
is injured? In case of an elbow injury, both minor and severe injuries can occur. With a slight bruise, small joint components suffer, and the pain quickly passes.
A more serious injury leads to damage to the synovial bag, the cartilaginous tissue and the capsule itself. Nerve pitting or bone damage may occur.
What indicates the trauma of
The main symptom that indicates an injury of the elbow joint is edema, which can be quite large.
If, during a stroke, the vessels of subcutaneous tissue, muscle tissue or skin are damaged, there are bruises of maroon or cyanotic color in the place of the bruise appearing of the.Under the skin, bruises form from blood accumulated under the fiber.
If blood accumulates in the cavity between the surfaces of the joints, hemarthrosis occurs. There is a stretching of the joint capsule and squeezing of medium and small vessels that provide nutrition to the joints.
With a strong elbow, in severe cases, dislocation, fracture or bone displacement may occur. Because of the pain and bruises, mobility of the elbow is complicated. The victim tries to keep his hand in a half-bent state, so as not to hurt himself.
The most common causes of injury
Anyone can injure an elbow, both an adult and a child. Often contusion of the elbow is obtained by falling, when instinctively put your hands in contact with a solid surface.The risk factors include sportsmen and people working at traumatic enterprises.
Due to their mobility, children often get bruises. In addition, any person can get a bruise when falling or accidentally abruptly touching a solid surface.
Degrees of severity of injury
Modern medicine distinguishes several degrees of contusions depending on severity:
- First degree .Minor damage to the skin with scratches and small bruises. This bruise goes by itself, without leaving consequences.
- Second degree .There is a rupture of muscle tissue, causing swelling and forming bruises. In this case, the victim feels a sharp pain in the bruised joint.
- Bruises 3 degrees are characterized by damage to the tendons and muscles, and in especially severe cases, a dislocation of the elbow joint is possible.
- The fourth is the heaviest degree of elbow damage, causing sharp acute pain and disrupting its normal activity.
First Aid Assistance
If you feel a strong pain in your elbow after a bruise, take the following measures:
- fix your arm by hanging it on a bandage bandage;
- attach something cold to the bruised place( ice, a towel soaked in cold water or any product from the freezer);
- if the pain does not pass more than 15 minutes, drink an anesthetic drug and go to the emergency department.
Diagnostics in hospital conditions
Serious injuries of the elbow joint are indicated by the appearance of sharp pain, swelling and bruising.
In this case, you need to ensure the joint is immobile and consult a doctor. Only a specialist can correctly diagnose the degree of damage, make an X-ray and prescribe a treatment.
You should not make yourself a diagnosis that, due to untimely started treatment, you get a bouquet of complications that will lead to disastrous consequences.In case of injury to the elbow joint, warming ointments can not be used and massage the bruised area.
Only a specialist with a strong injury can diagnose a hemarthrosis or fracture.
Treatment in the hospital and at home
What should I do to avoid complications and achieve full recovery after an elbow injury? To do this, you must follow all the prescriptions of the doctor:
- It is impossible to expose the injured hand to physical stresses of for 2 weeks, to bend and unbend the elbow. In this case, the wrist and the shoulder joint need to be developed in order to ensure normal blood circulation in the hand.
- During the first day cold is applied to the contusion site. The procedure is carried out up to 4 times a day, applying ice for 30-40 minutes.
- If edema and severe pain are observed, non-steroidal anti-inflammatory drugs , such as celebrex or nise, are taken. Tablets are drunk 2 times a day according to instructions on the package( before or after meals).
- Starting from 2 days in the place of a bruise it is possible to apply a therapeutic ointment, cream or gel , such as ketonal, fenbofid or nise. You can rub them up to 3 times a day, without getting into wounds and abrasions.
- For normalization of blood circulation to the place of injury Polimedel is applied - a special polymer film with a negative charge applied to its surface. Keep it on the site of injury can be from 30 minutes to 4 hours in a state of complete rest of the elbow. The procedure should be repeated 2 times a day.
- With strong bruises, is prescribed physiotherapy. Since 2 days, laser or magnetic therapy( at the discretion of the attending physician) can be used. It is strictly forbidden to conduct thermal procedures. They provoke the formation of ossification - pathological bone formation in the place of injury.
- To completely restore mobility of the elbow joint, prescribe massage and therapeutic gymnastics .They begin after immobilization( a period of complete immobility of the elbow).You can massage only the forearm and shoulder, without affecting the site of the injury. The exercises for restoring mobility include flexion-extension and rotation of the forearm. Duration of the procedure from 20 minutes to half an hour 3-4 times a day.
Traditional medicine to help the traditional
To accelerate the process of recovering a sick joint, you can, along with medicinal treatment, take advantage of the folk medicine recipes:
- well relieves pain and inflammation of a compress made of water-infusional wormwood;
- is effectively aided by a decoction of 3 spoons of burdock( burdock spikes) brewed in 0.5 liters of water;
- 200 ml of vegetable oil mixed with 5 baskets of tansy, hold in a water bath for 2 hours and use for rubbing.
Possible complications of
The most common complication arising from elbow injuries is hemarthrosis.
There is a noticeable increase in the joint. The victim has difficulty and pain when flexing and flexing his arm.
If a hemorrhage occurs in the joint cavity that does not resolve for more than 5 days, puncture is performed. The accumulated blood is removed, and the cavity is washed with an antiseptic and novocaine.After this, drugs that promote bone regeneration and antiseptics are injected into the joint cavity.
If a fluid accumulates in the periarthric bag, which may contain various infections, traumatic bursitis occurs.
If it has accumulated a lot, the doctor makes a small puncture or incision to suck the substance, after which it thoroughly disinfects.
Some time after the injury, deforming osteoarthritis may occur. This is the destruction of cartilaginous tissue, and the blood accumulated in the joint, promotes the fusion of bones.
This prevents normal movement of the elbow joint. With frequent injuries, posttraumatic arthrosis occurs.To avoid serious complications, for the treatment of which surgical intervention may be required, the doctor should be treated immediately after a bruise.
Avoiding a wide variety of injuries, in everyday life and at work is possible, for this you need to behave as carefully as possible. If you still get injured, contact your doctor immediately.
How to treat an elbow injury, first aid with an elbow injury - on SportObzor.ru
Elbow injury is a common injury that occurs after a fall, a blow on a solid object and other careless movements. It is this diagnosis that patients put to themselves if they have failed to fall or hit badly, and the elbow hurts badly and they begin self-treatment. In most cases, the treatment of an elbow injury is really successful without medication, at home. But no less often for a bruise is taken a much more dangerous injury, which without proper medical care, rendered in a timely manner, can lead to serious violations of the functionality of the hand.
Symptoms of an elbow injury
With a bruise, the integrity of soft tissues is not impaired, but they are damaged:
is the joint and ligaments around it. Because the main symptoms are as follows:
- a sharp pain right after the injury, which lasts from several minutes to several hours and even days;
- sensation of numbness of elbow, impaired mobility, stiffness for a short time;
- swelling that occurs a little later at the site of injury - can be expressed by a slight swelling or severe flushing of tissues that spreads to adjacent parts of the hand;
- subcutaneous and intermuscular hemorrhages, initially from pink to dark red, then - bluish.
The last symptom is the most dangerous - it means that the blood has accumulated in the interarticular space and presses on the vessels and nerve endings. Articular tissues do not receive sufficient nutrition, hemarthrosis develops. Often with a bruise, the joint bag breaks. For this reason, the victim unconsciously holds his hand slightly bent at the elbow, like a baby, and tries not to move it.Warning! If a few minutes after the injury the pain does not abate and only grows, and the symptoms become more severe, you should contact the trauma doctor as soon as possible: for a bruise, you can take a fracture or a crack in the bone, serious damage to the joint and ligaments.
Consequences of an elbow injury
If fluid accumulates in the joint, it can lead to the development of a disease such as bursitis. In this case, the treatment of bursitis joints - the process is much longer than the bruise. In addition, the infringement of the nerve can pass into neuritis - a serious inflammatory process, accompanied by severe pain with the slightest movement.
With a fracture or closed fracture taken for a bruise, an incorrect fusion of the bones may occur, as a consequence - a violation or complete lack of limb mobility, joint deformation, disability. To diagnose the exact severity of the injury can only be using X-rays or MRI.
First aid for contusion of the elbow of the
So, what to do with an elbow injury at home? Remember that the injured elbow should never be massaged, the limb must be immobilized and cold applied. To relieve swelling and pain, indomethacin is given in tablets and as an ointment for compresses.
When blood is collected, a suction puncture is performed, followed by corticosteroids. As healing begins, you need to start developing the joint, starting with the brush. Promotes the healing of physiotherapy: therapeutic massage, magnetotherapy to treat bruises, electrophoresis.
What to do with an elbow injury, treatment of a contusion of the elbow joint - ointments and folk remedies
Elbow injury is a closed damage to soft tissues of a mechanical type, during which their integrity is not violated. Severe contusion of the elbow can lead to hemorrhage, formation of a hematoma, isolated or combined damage to nerves, vessels, articular cartilage, ligaments, bone tissue.
The main cause of injury of the elbow joint is a fall. The man bends his hand and sets it up on landing, it happens reflexively when we fall. Other reasons include push, impact, squeezing. Often there is a bruised elbow in the child due to the high activity of young children. The athletes who engage in football, volleyball, bodybuilding, figure skating are at risk. The degree of severity directly depends on the strength, impact, height of the fall and other factors.
Symptoms of an elbow injury
The main sign of an elbow injury is pain in the elbow after a bruise, manifested with any movement of the hand, with a strong injury it does not pass even at rest. This is explained by the large number of nerve endings in the ulnar zone. Pain can radiate in the forearm, fingers of the hand.
If you have a swollen elbow after a bruise - this is a sure sign of the injury. Tumor and puffiness can be both insignificant and voluminous, pronounced. The size directly depends on the degree of damage, as well as on the characteristics of your body.
A bruise( bruise) is formed at the injury site - this is damage to the blood vessels, a hemorrhage into the soft tissues. The color of the skin changes locally, becomes pink, dark red, then blue.
Because of the above characteristics, mobility is limited. A strong bruise of the elbow can provoke the development of complications, including hemarthrosis, destruction of the cartilaginous cover, deforming osteoarthritis, neuritis, purulent arthritis.The most common complication is traumatic bursitis, accompanied by the accumulation of fluid after an elbow injury, a swelling of the hemispherical shape. Symptom bursitis is also a bruised elbow with a bump. We draw your attention to the fact that these consequences develop, as a rule, because of undiagnosed dislocations, fractures and other serious injuries of the elbow. We recommend that you consult a doctor for examination and X-rays.
First aid for an elbow injury
Many people do not know what to do with an elbow injury in the first moments after the injury. But it is timely delivery of first aid can reduce all the unpleasant consequences of trauma. The first help in case of a contusion of the elbow joint is as follows:
- To fix the elbow joint, to ensure immobility and rest. This is necessary so that the pain does not increase. For fixation use a bandage-scarf;
- Provide an elevated position to the hand to reduce blood flow;
- Impact the cold on the bruised place. To do this, use ice wrapped in polyethylene or a clean cloth, cold water in a bottle. This will help slow the bleeding, reduce pain and swelling;
- You can take an anesthetic( Nyz, Analgin, Ketonal, Pentalgin).
Do not massage the elbow, do not apply warming compresses and do not rub warming ointments. This will only aggravate the situation, will promote swelling and pain. All further actions for the treatment of an elbow joint injury should be entrusted to the doctor.
Treatment of an elbow joint
The first stage of treatment of an elbow joint contusion is the diagnosis. With the help of X-ray, the doctor will be able to distinguish the usual bruise from a dislocation or fracture, since the usual examination is not always accurate. If you have a case with complications, then you should tell the doctor how to treat an elbow injury. Since complicated cases require constant examination, hospitalization. So, for example, if a liquid or blood has accumulated in the elbow of the elbow, a puncture is required.In simple cases, it is possible to treat elbow injury at home. It is enough to apply a cold compress within two days after getting the injury, then act warmly, conduct warming procedures to resolve the swelling, improve blood supply. Also do not forget about immobilization of the bruised limb.
When swelling of the joint, treatment of the elbow injury is done with the help of non-steroidal anti-inflammatory drugs: Nyz, Celebrex. Be sure to read the instructions before use.
For the restoration of the joint it is recommended to exercise LFK( therapeutic physical culture) to prevent complications. Already on the second day after the trauma, move with your hands and shoulders. But the elbow does not need to unbend / flexion for 1-2 weeks.
Ointments for Elbow Bruising
In this trauma it is important to know what to brush up an elbow injury. There are many local remedies that need to be applied 2-3 days after injury 3 times a day. We draw your attention, with abrasions and wounds, they can not be applied. We present a list of ointments for treating the elbow joint:
- Fastum-gel is recommended for inflammation, sprain;
- Bystrumgel relieves pain, inflammation;
- Diclofenac should be applied with a local increase in body temperature to relieve inflammation;
- Indovazin quickly removes edema, resolves hematoma, improves microcirculation;
- Ketonal is best applied with bursitis complication;
- Indomethacin is recommended for severe swelling and pain. It is best to use as compresses;
- Heparin ointment relieves inflammation, reduces swelling;
- Venoruton improves microcirculation, tones blood vessels.
Folk remedies for the treatment of elbow injury
In addition to traditional medication, it is recommended to treat elbow injury with folk remedies at home. From natural components, you can prepare ointments, compresses, infusions, decoctions. We present the most effective methods of traditional medicine for treating the contusion of the elbow joint.
Recipe 1. In a ratio of 2: 3, mix the leaves and stems of the golden mustache and petroleum jelly. Rub into the place of bruise at night.
Recipe 2. Make a compress of alcohol and horseradish juice. Saturate with gauze or a clean cotton cloth, put on a bruise, wrap it with a scarf and leave it overnight.
Recipe 3. Mix in equal parts propolis and sunflower oil, heat the ingredients in a water bath, cool, rub into the area of the affected joint for the night, top with polyethylene wrap and warm with a scarf.
Elbow bursitis: everything about treatment in the hospital and at home
Free flexion of the limb at the elbow is possible due to the presence of a special periarticular bag - the bursa.
A small amount of special fluid that is contained in its cavity plays the role of lubricant, reducing friction and preventing possible micro-trauma.
If suddenly the synovial bag becomes inflamed, a disease called bursitis develops.
Causes of bursitis and major risk factors for
A fairly common pathology of the elbow joint can be caused by various causes.
- The most common phenomenon is acute traumatic bursitis, it is called professional disease of athletes. A sudden subluxation, bruising or stretching can provoke an inflammatory process, during which the amount of exudative fluid increases, there is swelling. The size of the tumor sometimes reaches the size of a chicken egg.
- Another risk factor is the systematic increased stress that falls on the elbow joint. As a rule, trouble happens to people who, by virtue of their professional activities, are forced to perform the same monotonous movements with their hands, lean on them, keep the weights on weight. In these cases, it is worth talking about a chronic form - constant irritation leads to persistent changes in the joint.
- Nonspecific infectious bursitis usually also begins with an injury - for example, with a cut or bruise. The pathogen enters the pathogen( staphylococcus or streptococcus), develops an inflammatory process, as part of the exudative fluid, blood or pus is found. This condition is quite dangerous, as it can lead to necrosis( withering away) of tissues, infection of blood.
- Specific infectious bursitis occurs in certain diseases, being their constant companion - this problem is typical, for example, for people suffering from brucellosis, syphilis, gonorrhea, tuberculosis. In this case, joint disease can be overcome only by eliminating the root cause.
- In some cases, bursitis is a consequence of chronic arthritis or gout.
The main symptoms of
elbow bursitis Since the problem can be caused by a number of independent causes, the disease can manifest itself with different symptoms.
In the acute form of the disease, the first thing that attracts attention is the pain in the joint region. However, unlike the same arthritis or serious mechanical damage, the mobility in the joint is at least reduced, but not completely broken.
In the photo - chronic bursitis of both elbow joints
In chronic form, the pain syndrome may not be too pronounced, and attention is drawn to the dense tumor on the outside of the elbow joint. An increase in body temperature( sometimes up to 40 degrees) and common phenomena of intoxication( nausea, headache and muscle pain) indicate an infectious lesion. How to treat bursitis elbow?
Treatment regimen for elbow bursitis
To solve the problem, you should consult a doctor. Usually the professional is able to diagnose already during the initial examination.
In doubtful cases, an X-ray may be required, and if there is a suspicion of purulent bursitis - a puncture for sampling exudative fluid.
Analysis will accurately answer the question of which pathogen is responsible for the development of the disease and what drugs it should be treated with.
In acute bursitis, a tight fixative bandage is recommended, which is designed to ensure rest of the joint and prevent its further injury, and also to limit physical exertion.
The first step - pain relief
In order to alleviate the patient's condition, non-steroidal anti-inflammatory drugs are prescribed, which simultaneously reduce the pain syndrome and relieve intoxication. For example, ketoprofen, ibuprofen or diclofenac sodium, which can be used in a variety of dosage forms - tablets, candles, injections, creams, gels, sprays.
Hormone therapy - in severe cases
In the treatment of elbow bursitis with a prolonged course of the disease, which does not want to give in, prescribe corticosteroids( hydrocortisone or prednisolone), most often the injections are made directly into the joint bag. This has not only a powerful anti-inflammatory, but also anti-allergic effect.
Hormone therapy is designed for a long time. For example, hydrocortisone is usually injected into the joint once a week, but for 1-1.5 months. The doctor, focusing on the patient's condition, can prescribe the drug and in tablets, in this case, the daily intake, and the rate will be from 3 to 10 days.
Suppression of infections with antibiotics
If the disease is of an infectious nature - with purulent bursitis - without treatment with antibiotics also not do. Usually, before prescribing antibiotics, the doctor will try to find out which of them the pathogenic flora that caused the disease is most sensitive. For this purpose, bak-sowing is used.
Medication therapy is preceded by drainage - purification of the bursa from exudative fluid containing pus and blood, after which the periarticular bag is washed with an antiseptic solution( manipulation is performed under anesthesia).
Sometimes there is a need for several repeated procedures. In an inpatient setting, intravenous( drop) administration of antibiotics is prescribed - this allows solving the problem more effectively.
Since it is not always possible to perform bacussis, the most commonly used drugs are a broad spectrum of action that can cope with most pathogens.
Its highest effectiveness was proved by drugs from the penicillin group. For example, ampicillin or oxacillin. The doctor may prescribe these antibiotics in the form of tablets or injections. The course, as a rule, does not exceed ten days, and the treatment regimen is painted in each case strictly individually.
Operation - as a last resort
In some cases( for example, with chronic bursitis), surgical intervention is indicated. It allows almost with absolute certainty to exclude the possibility of relapse. In the period of remission, the patient is given physiotherapy and physical therapy, it is recommended to visit the balneological resorts.
Primary assistants for ulnar bursitis
Conditionally all cases of ulnar bursitis can be divided into complicated and uncomplicated. In the first case, there will be enough treatment with topical ointments. Many of them have proven their effectiveness for a long time.
- Diclofenacol is a cream based on diclofenac sodium. When applied to the problem area, it removes inflammation, reduces redness, swelling and pain, cools and restores motor function. This drug is taken in small amounts( about two grams) and some time rubbed with massaging movements. On the day the procedure is performed no more than three times, the treatment lasts up to two weeks.
- "Finalgel" is a piroxicam-based product. Also applies to non-steroidal anti-inflammatory drugs. Effectively relieves pain in joints and muscles, reduces swelling. The cream is applied in small amounts up to 4 times a day, the treatment can be continued for a long time, if necessary, up to 20 days.
- "Fastum" is a gel, the active ingredient of which is ketoprofen. Since it also belongs to the NSAID group, the principle of its action is similar to other similar creams. However, it has been experimentally proved that ketoprofen is one of the most powerful and safe drugs of this series.
Bruised elbow treatment. What to do with an elbow injury?| |Medical portal
In this article you will read on the bruise of the elbow. This injury is not uncommon, an elbow to the wall, a corner, a railing or a door is not uncommon, everyone was fighting. Of course, it's one thing to just hit, but you can also get injured! What to do with an elbow injury? A bruised elbow treatment requires good, you can, of course, at home, but only the injury is not serious. Also in the article you will learn about the symptoms of trauma and first aid.
The hands of a person, as well as their legs, are often injured, which is explained by their high activity. Naturally, in the first category of risk are people who are engaged in various sports: volleyball, football, figure skating, bodybuilding, athletics and many others. Very often people turn to the trauma department with a joint injury on the upper limbs. Such a trauma as an elbow injury occurs quite often, and is a weighty reason for limiting movements in the arm. In case of contusion( contusion), only soft tissues are damaged - skin, muscle tissue, and in some cases joints. There are such bruises, which completely disrupt the person, creating a certain discomfort.
To get this hand injury to , you do not need to be a professional athlete who trains all day. It's enough to just fall off unsuccessfully or to get your hand between the door in the subway in the elbow area. Especially often get a bruised elbow on the soccer field, in a collision with another player. In other words, a bruise occurs when one strikes, or compresses soft tissues with an object. A vivid example can be cited in young children, who often fall and place their hands as protection.
Symptoms of an elbow injury
It's sad when an elbow injury is combined with significant damage to the elbow joint. In this case, and however, as with any injury, there will be a sharp pain in the area of trauma. If the ulnar nerve is touched, the pain becomes simply unbearable. After a few minutes you can see on the surface of the skin some swelling, the size of which directly depends on the degree of injury and features of the body. This symptomatology occurs as a result of damage to small blood vessels, and is mainly accompanied by a local change in the color of the skin. In common speech it is called a bruise, and in medical terminology - a hematoma, or hemorrhage into soft tissues. Due to trauma, the normal operation of the elbow joint may be disrupted, due to the increasing swelling and the action of pain syndrome. Not infrequently, the consequence of this trauma is the development of the destruction of the cartilaginous cover, resulting in deforming arthrosis, but this only applies to severe degrees of bruising. When examined by a doctor, the patient takes a characteristic forced position of the injured hand( the elbow is in a bent position 110-120 degrees).On the X-ray, the characteristic symptoms of the posterior and anterior fat pad are distinguished, which normally can not be traced.
If the symptoms do not quite match, you may not have a bruise, but dislocation of the elbow joint .Check it by reading the article.
What should I do with an elbow injury?
Many people are interested in the question of what to do with an elbow injury in the first moments after injury? The answer is obvious, you need to fix the bruised elbow, so that the pain does not increase with movement. In the wake of this, it is necessary to apply something cold as soon as possible. It can be anything: pieces of ice from the freezer, a bottle of cold water, or your half-eaten ice cream. The most important thing is to apply cold, which will effectively reduce swelling and pain syndrome, by spasm of damaged vessels. It is not necessary to attempt to fully unbend the elbow, because there may well be a fracture. It is also necessary to provide an elevated position of the limb, which will reduce the flow of blood. Perhaps, there is nothing more to do, as further actions are best entrusted to medical workers.
Elbow bruise treatment
In the hospital department will conduct all necessary diagnostic methods. The most informative is the radiography, which can distinguish the usual bruise from a fracture, since a manual examination can be very painful and impossible. If the patient is lucky, and he was diagnosed with an elbow injury the treatment will be carried out at home on his own. Only complicated bruises require a constant examination of the doctor, up to hospitalization. This applies to those people who have problems with joints or not clotting blood. It is not uncommon for a patient to perform an elbow joint puncture, for manual extraction of blood.
The first days after injury are recommended to apply cold, and in the following days - heat. Heat promotes resorption of the formed hematoma. You can use a variety of ointments that have anti-inflammatory effect: ferbedone, Lyoton, Dolobene-gel and others. If the patient complains of severe pain, the doctor can prescribe painkillers: ketones, baralgin and others. Of particular note is the indomethacin preparation, which has a decongestant and analgesic effect. With bruises of the elbow, folk medicine is very strong, which our grandparents perfectly own.
Video: the structure of the elbow