Joint injury - soft tissue damage in the joint region. Usually it is a consequence of domestic or sports trauma, it rarely occurs in road accidents, falls from a height and other high-energy impacts. The direct cause of injury is a stroke or a fall. Most often suffer knee and elbow joints. Trauma is manifested by swelling, pain and restriction of movement. In the early days, hemarthrosis may develop, followed by synovitis. To confirm the diagnosis and exclude other damage, x-rays are prescribed, less often MRI, CT, joint ultrasound and arthroscopy. The treatment is conservative.
Joint injury - slight traumatic injury. Extremely widespread. Children and active young people usually arise during sports activities or active recreation: running, cycling, skiing, skating or skateboarding, tourist trips to nature, etc. In middle-aged people,or household chores at home or at the dacha. In the winter period, the number of bruises obtained when falling on the street increases.
In most cases, the joint injury proceeds favorably and ends with complete recovery. Very rarely, the outcome is recurrent synovitis and post-traumatic arthrosis. In the first stage, the main task of the traumatologist is to eliminate the more serious injuries: ligament injuries, meniscus ruptures, small intraarticular fractures( tearing of the large tubercle of the humerus, fracture of the head and neck of the radius) and larger fractures without displacement( compression fracture of the condyle, fracture of the ray in a typicalplace, fracture of the external ankle).To prevent the development of complications in the long-term period, with bruises prescribe appropriate therapy and conduct regular repeated examinations.
Pathogenesis of a joint injury
A bruise occurs when a moving solid object has a small kinetic energy( in the event that the injury occurs due to a fall, the kinetic energy is not the object or surface, but the human body).The degree of resistance to this effect in different tissues is not the same. Strong skin, fascia, tendons and ligaments remain intact or virtually intact. The most affected are loose fiber and soft muscle tissue.
There are small gaps in the tissues, areas of crushing and stretching. Blood from the damaged small vessels is poured into the skin, muscles and subcutaneous fatty tissue, bruises( hemorrhages) are formed. Aseptic inflammation develops, the amount of fluid in interstitial spaces increases, and edema develops. If the vessels of medium diameter are damaged and the bleeding is more intense, it is possible to form a hematoma - limited cavities filled with blood.
Despite the absence of gross injuries, joint injuries often suffer not only superficially located soft tissues, but also intraarticular structures: synovial membrane, cartilage, ligament and joint capsule. More often there are microdamages of the synovium. In its thickness there are hemorrhages, blood from the damaged vessels is poured into the joint cavity, hemarthrosis is formed. Subsequently, the blood cells begin to disintegrate, the fibrin filaments appear in the articular cavity, the decay products are absorbed into the surrounding tissues.
Cartilage and soft tissue elements of the joint become less smooth and partially lose their elasticity, which in the late period can lead to the occurrence of a recurrent synovitis and the appearance of arthrosis changes. Another cause of the development of long-term consequences of a joint injury are microdamages of hyaline cartilage. In case of a bruise, small pieces of cartilaginous tissue "open" from the surface and form the intraarticular bodies, and the cartilage itself loses its smoothness at the points of detachment.
Shoulder joint bruise
Usually occurs when you strike or collide with a stationary object( for example, a door jamb), less likely to form when you fall. At the time of injury, the pain is intense, then decreases, and then increases again as the edema increases. The size of the swelling can vary greatly. In mild injuries, edema is almost invisible, with severe bruises of the joint, a significant increase in the volume of the affected area is possible, due to hemorrhages in the deltoid muscle, edema of the deltoid muscle and congestion of the joint.
Joint bruise is differentiated with shoulder dislocation, tearing of the large tubercle and fracture of the neck of the shoulder. The contusion is indicated by the preservation of the configuration of the joint, the absence of pain in the shoulder when tapping the elbow and a slight restriction of movements( the patient can freely withdraw his arm and lift it anteriorly).There are no changes on the roentgenograms of the shoulder joint. Treatment - NSAIDs in the form of tablets and funds for external use, rest( in severe cases, a bandage dressing), cold, then UHF and dry heat. Puncture of the shoulder joint is usually not required.
Injury of the elbow joint
The cause of the joint injury is a push, fall or stroke. A distinctive feature of the elbow joint is the tendency to the formation of bone growths and rapid development of scar tissue, even with small injuries, therefore, the lesions of this anatomical area should be treated with particular attention. After injury, pain and swelling occur. The contours of the joint are smoothed out, movements are hampered by pain. The patient tries to keep his arm slightly bent - this helps reduce pain.
Differential diagnosis is performed with dislocations and intraarticular fractures. With joint bruises, the edema of the distal parts of the limb is usually absent, movements are difficult, but possible, the configuration of the joint is preserved, the radiography of the elbow joint is unchanged. Treatment - kosynochnaya bandage, cold. Gels and ointments with indomethacin and other NSAIDs are applied to the area of the injury. With hemarthrosis, punctures of the elbow joint are performed. In order to accelerate the decrease in edema and the resorption of hemorrhages, from the first day it is recommended to perform finger movements.
Wound of wrist joint
Occurs rarely. Severe bruises with severe swelling of soft tissues pose a danger due to possible compression of nerves passing through the carpal canal. With light bruises of the joint, typical manifestations are observed: pain, swelling, slight or moderate restriction of movements. In severe bruises with compression of the nerves, a sharp pain along the nerve path with irradiation into the fingers is added to the clinical picture. Sensitivity loss and movement disorders may be detected.
Joint bruises differentiate with a fracture of the ray in a typical place and fractures of the bones of the wrist. The data of X-ray examination of the wrist joint are of decisive importance. Treatment of lung contusions is outpatient. In severe injuries with compression of nerves, hospitalization in the department of traumatology and orthopedics is necessary. To reduce edema, the limb is irrigated with chloroethyl. With increasing edema, an autopsy of the carpal canal is shown under local anesthesia. Puncture of the wrist joint is usually not required.
Joint hip joint
A hip joint injury in the home is usually formed when falling on its side, during sports - in a collision, impact or fall. Pain, as with other bruises, in the first hours decreases, and then again increases with the growth of edema. With light injuries in the affected area, a small swelling is formed, with severe swelling and possible hemorrhages. Hematomas in this zone are rare. Palpation and motion are painful, the degree of restriction of movements depends on the severity of the injury.
Older patients need to be carefully differentiated with a hip fracture. The bruise of the joint is indicated by the absence of external rotation of the foot and the negative symptom of the "stitched heel".Support for the leg is preserved. Radiography of the hip joint is normal. Treatment is carried out according to the standard scheme: rest, at first cold, then NSAIDs, dry heat and UHF.Some patients in the first days after a joint injury for movement have to use crutches or a cane.
Knee joint injury
Occurs when falling or when knee-bending against a hard object. Such an injury to the joint is often found in children and athletes. It is manifested by puffiness, pain and difficulty of movement. With hemarthrosis, the contours of the joint are smoothed, swelling is formed on the anterolateral surfaces. Injury is differentiated with ligament damage, meniscus damage and intra-articular fractures. With bruises of the joint, there is less vivid clinical symptomatology in comparison with fractures, radiography is normal. Unlike the damage to the ligaments, there is no pathological mobility in the joint.
A fresh joint injury is difficult to distinguish from a meniscus rupture. In case of doubt, patients are referred for MRI of the knee joint, joint ultrasound or arthroscopy. Treatment of knee injuries is outpatient. On the leg impose a fixative bandage or gypsum, advise less to load the limb and first apply cold, and after 2 days warm up the sore spot, using a heating pad. Apply UHF.In the presence of fluid, knee joint punctures are performed. If unpleasant symptoms persist after the acute symptoms subsided, a thorough re-examination is carried out and, if necessary, the patient is referred for additional studies. Injury of the ankle
Ankle injury is usually a consequence of a stroke. At admission, damage to the ligaments of the ankle and fractures of the ankles is excluded. A joint injury, as a rule, is accompanied by a less pronounced edema that does not spread to the foot. The support is preserved, there is no pathological mobility in the area of injury, there is no gross deformation and crepitation. Radiography of the ankle without changes.
Treatment is carried out according to the classical scheme: to reduce edema, the limb is kept in a raised position if possible, during walking, an elastic bandage is applied, immediately after the injury, a cold wipe or ice bag is applied, then dry heat is applied, anti-inflammatory and pain-relieving ointments are rubbed. Punctures with ankle bruises are usually not required. Sometimes in the first days after injury, patients have to use a cane.
Shoulder joint bruise: treatment and signs of injury
- 6.4 Physiotherapy
Shoulder joint bruise is a joint injury that does not violate the integrity of the outer skin and intra-articular structures. This type of pathology occupies most of all the injuries of the shoulder joint.
In most cases, the bruise does not lead to serious consequences. But with repeated loads or significant traumatism, complications that cause harm to health can occur.
A pathologist should be treated by a trauma doctor who will carry out diagnostic measures and prescribe adequate treatment.
Causes of contusion
Any pathway that exceeds the anatomical and functional capabilities of tissues can be a factor in the occurrence of a pathology. The most common causes of injury are:
- Falls on the upper limb.
- A direct blow to the articulation area.
Mechanism of pathology
When a lesion occurs, a complex of reactions occurs leading to an inflammatory response. The blood supply of the body part increases, the vessels become full-blooded, the local skin temperature increases. Through the vascular wall swims the liquid part of the blood and develops the swelling of the joint.
Direct damage to tissues and compression of their edematous fluid excites pain receptors and causes unpleasant sensations, disturbing even in a calm state for the shoulder.
Because of the intense soreness and swelling in the articulation area, movements become difficult or impossible. Thus, a typical clinical picture of the disease is formed.
Symptoms of bruising occur immediately after getting damaged. The dynamics of changes in the clinical picture is insignificant. Manifestations are:
- Pain when moving or in a relaxed state.
- Difficulty of movements, reduced amplitude and mobility.
- Edema of surrounding tissues.
- Hematoma( hemorrhage in the skin).
The appearance of signs of the disease should be the reason for contacting a specialist. The doctor will make sure that the anatomical integrity of the tissues is not broken, will compare the symptoms and prescribe the optimal therapy.
Complications of the
injury Low-intensity trauma usually leads to discomfort, but does not cause serious consequences. However, significant or repeated damage can cause complications of the shoulder joint bruise:
- Bursitis - inflammation of the joint bag. The humerus is surrounded by a connective tissue bursa, which ensures its integrity and limits the cavity to the synovial fluid. Inflammation of the bag and its twists is a serious complication that requires complex treatment.
- Hemarthrosis - the accumulation of blood in the joint cavity. This complication occurs when traumatizing a large vessel passing near the shoulder. Blood interferes with mobility of articular surfaces. Symptoms of the disease disrupt the patient's ability to work, the anatomical area is intolerably sore, a feeling of bursting in the projection of the articulation arises.
- Synovitis - inflammation of the synovium. The bony projections in the joint cavity are covered with a cartilaginous shell, which produces a fluid that ensures smooth movements. With inflammation of this structure, the intensity of the symptoms increases, and the production of the fluid increases.
- Osteoarthritis is a degenerative joint disease that occurs if cartilage or bone structures have been damaged. In the joint, outgrowths of bone tissue are formed, which reduce the smoothness of movements and lead to disability of the patient.
- Damage to ligaments and tendons of the shoulder - a concomitant pathology, which should be excluded by the attending physician. A bruise complicated by tendonitis is more difficult to treat and requires the use of additional methods of treatment.
An experienced traumatologist can diagnose a shoulder joint injury on the basis of general examination and patient complaints.
But additional instrumental research techniques allow to exclude concomitant pathology and complications of trauma, to distinguish bruises from sprains and ruptures of ligaments, fractures of bone structures. Diagnostics used:
- Radiography of the shoulder. The technique of obtaining X-ray images of the joint in several projections with a high probability will indicate the presence or absence of bone tissue damage. This study is an obligatory procedure for the expressed symptomatology of trauma, suspicion of fractures of bones.
- Computer and magnetic resonance imaging. Modern high-tech techniques, the effect of which is based on the performance of several images on different sections of tissues. CT and MRI provide high quality visualization of both bone and soft components of the humeral articulation. You can detect micro-trauma, ligament ruptures, cartilage damage and other pathologies. The disadvantage of the research is the high cost of the procedure.
- Ultrasound examination. The technique is used for economical and rapid examination of the joint capsule. Minus the procedure - the subjectivity of the study, low reliability of the result.
First aid for a contusion
When injuring a shoulder joint, it is necessary to create a functional rest for the upper limb. You can immobilize your shoulder with an improvised bandage from a kerchief or other cloth flap.
The shoulder should be fixed in the middle physiological position, when the shoulder is brought to the trunk, and the forearm is bent at right angles.
You need to put ice on the joint area. Cold will lead to vasospasm, reduce the intensity of the inflammatory response, reduce the swelling and soreness of the affected tissues.
Therapy for a shoulder joint injury is performed by a physician with a traumatologist using several techniques that are combined with each other. The doctor can prescribe:
- Functional rest, immobilization of the damaged area.
- Physiotherapy and massage.
In a number of cases, with little symptomatology, the use of medications to treat shoulder contusion is not indicated.
If the damaged joint hurts and disrupts the patient's performance, non-steroidal anti-inflammatory drugs in tablets are used. These include Nyz, Diclofenac, Ibuprofen. These remedies relieve inflammatory syndrome and symptoms from the damaged tissues.
If the affected area hurts, despite the use of nonsteroidal agents, doctors resort to inserting into the joint cavity of painkillers and hormones of glucocorticosteroids, which effectively and quickly relieve inflammation.
Drug treatment in the form of warming and anti-inflammatory ointments and gels with non-steroidal agents and other drugs is acceptable from 3 days of illness.
Rest in the joint area will help to avoid additional trauma and reduce the intensity of pain. Categorically contraindicated additional burden on the affected upper limb.
The best effect is achieved by applying to the joint bandages by the type of Dezo or orthotic structures. Modern orthoses and bandages have a number of additional therapeutic properties, and also effectively immobilize the joint in the given position.
Physiotherapy and massage
Strengthen blood circulation, relieve inflammation, stop symptoms can regular and complex physiotherapy. Contusion of the shoulder joint is an indication to use the following techniques:
When striking the shoulder area, the most likely injury is a bruise of the shoulder joint, the symptoms of which can be varied depending on the degree of damage to the joint.
Often, this trauma does not go away quickly and leads to different inflammatory processes that occur in the ligaments, muscles, and even the tendons. With a bruise, soft tissue damage and micro-fractures are possible. Negatively, this affects the bone tissue itself, which can lead to a fracture of the shoulder itself. But, despite such serious consequences, many victims ignore the bruise of the shoulder joint and continue to engage in active activities, not suspecting the consequences. That is why any trauma should be diagnosed and treated on time. This will help to avoid inflammatory processes, which then can smoothly go into serious ailments.
Most often, such a trauma goes to hay fever, bursitis, arthritis, arthrosis, tendonitis and the like. In order not to suffer from a bruise in the future, it is necessary to consult a doctor and undergo the prescribed diagnosis. The most commonly prescribed examination with ultrasound, MRI, X-ray or CT.Do with the help of various devices pictures on which the doctor already prescribes therapeutic treatment.
Four degrees of injury
Nobody likes to walk around the doctors, therefore, with injuries and injuries everyone prefers to be treated independently, without even thinking how serious the situation is. All the painful feelings are written off as simple stretching and damage to soft tissues. But the first signal for a person who has suffered a shoulder injury should be pain that does not go away even when the hand is in a calm state. Doctors all shoulder bruises are divided into four main degrees of defeat.
The lightest shoulder injury is the defeat of the skin. It does not affect your performance, and the pain will manifest only when certain muscle groups act. In the people such a bruise is called a simple stretching and eventually everything passes.
The second degree of a joint injury is the defeat of the ligaments and the entire shoulder. In this case, the injured person can observe a clearly visible puffiness, hematomas at the site of injury and redness. All these symptoms are expressed due to the fact that at the time of the impact the blood vessels ruptured and a hemorrhage occurred at the site of the injury. You may notice a sharp pain, which, even with complete rest, will not pass the hand.
The third degree is a trauma not only to the soft skin and stretching of the muscles, but also to the tendons. With such a trauma, you should immediately seek help from a doctor, because even a dislocation of the hand can become a consequence.
The fourth degree of injury can not be overlooked, because in this case your hand completely loses the ability to move and the shoulder does not function.
If you after the injury noticed symptoms of the second degree, namely hematoma, then it usually just by itself dissolves over time. This takes about two weeks. But when providing timely assistance, namely, fitting a cold compress, hematomas can be avoided altogether, or it will take place much faster.
To accurately determine the extent of the injury and to recognize all the symptoms, it is necessary to consider possible variants of bruises.Back to the Table of Contents
Species and Symptoms of Contusion of the Shoulder Joint
Shoulder dislocation. If you injured your arm in this way, the damage will be visible visually. The humerus then exits from the joint and will bulge in front or from above on the shoulder. In severe trauma, all the tendons and ligaments that attach the muscles to the bone and hold the joint will stretch, and the nerves and blood vessels will be damaged.
Especially dangerous if you get such a permanent injury and the dislocation has been repeated. At subsequent, even the most minimal bruises, it can be repeated. As a consequence of the dislocation, it is possible to notice a sinking in the shoulder joint, while it will not be possible to move it.
Rupture of ligaments. This injury consists in rupturing the ligaments, which are responsible for joining the clavicle with the scapula. In this case, there may be not only a break, but also a displacement of the clavicle. More often such traumas are observed at football players and hockey players which during game fall on a shoulder or the extended hand. Symptoms of rupture and dislocation are very similar. This includes swelling, severe pain, stiffness during movement and deformation of the shoulder joint. If you compare a healthy shoulder and a damaged one, then you will immediately see the difference.
Injury of the hand "swimmer's shoulder".The name of this bruise speaks for itself. Most often, such damage occurs with repeated incorrect movements of the shoulder joint. This happens in swimmers who do not have enough experience and perform irregular strokes, while constantly increasing the speed of movement and applying great strength.
Also injuries of this kind are football players, tennis players, basketball players, climbers and heavyweights, who are constantly lifting the jerks of gravity. But, even if you are not an athlete, it does not insure you against such bruises of the shoulder joint. Popular among builders, workers, plasterers and painters are stretches or small muscle tears that are located at the top of the shoulder, between the hand and neck. At the same time, both athletes and workers have an outflow and pressure on the bone.
Symptoms are easy to recognize. Trauma "swimmer's shoulder" does not manifest immediately, but comes gradually, after every workout or work, increasing pain. Sign is the sensitivity of the muscle in front of the shoulder and in the upper part. If you try to stretch your arm up or raise it with this damage, you will feel a sharp pain. Also, when the stages are started, it will be difficult to lie on your shoulder or make any movements, because the rotational muscle is badly damaged.
But, no matter how damaged your hand, in any case, you should not start it and do not hesitate to visit a doctor.Back to the table of contents
We treat injuries to the shoulder joint
If you did the right thing and consulted a doctor and found even the slightest signs of injury, then most likely the next treatment will be prescribed. It will be complex in any way and will have a quick and positive effect. After all, the shoulder should fully recover from injury and work properly.
Most doctors prescribe to patients the usual conservative methods, which include therapy with medications.
This treatment is divided into several stages, and the first of these is the taking of analgesic drugs. They remove all inflammatory processes, help relieve pain, and accelerate the healing of tissues. As an example, you can call analgin, ketans, nimesil and similar drugs with analgesic effect.
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The shoulder joint can be cured with ointments. Such treatment is prescribed for mild trauma. Also, the ointment can be used when the pain is no longer strongly pronounced, but the bruise has not yet passed to the end. Do not worry if you feel discomfort when applying the ointment, because it needs to be rubbed into the damaged area well, which will cause additional pain. All ointments for treatment of damages render warming up effect, restore microcirculation, remove hematomas and inflammations. As an auxiliary therapeutic action, a cooling compress can be applied to the site of the shoulder joint injury.
If symptoms of more serious degrees of injury are recommended, in addition to taking medications, also visit massage rooms. This is a great way to return elasticity to the ligaments, and to give the muscles tone. This is especially important for athletes, because they need constant endurance of the joint and normalization of the circulation.
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With first and second degree bruises with the right decision, there is practically no chance of earning any consequences. This is strengthened by strengthening exercise therapy. But the bruises of the shoulder joint of the third and fourth degree can well lead to serious diseases, especially in the case of improper treatment and diagnosis.
When the shoulder joint is bruised, the consequences in the form of inflammations, possible dislocations in the future, chronic joint diseases are what the negligent attitude towards health is threatened. Take care of your health!
The consequences of a shoulder injury can be very serious. Traumatic effects often lead to damage to soft tissues and the synovial membrane of the joint without compromising the integrity of the skin.
Causes of closed damage to the joint tissues
This is a fairly common injury to the shoulder joint, which occurs due to a direct strong impact or an unsuccessful fall on the hand. People often get a bruise cup-like articulation:
- The shoulder has a complex anatomical structure, which provides him with a significant amplitude of movements. The articular cavity of the scapula and the head of the humerus withstand high functional loads. Even during sleep, the shoulder joint often does not rest.
- It is this joint that is more prone to traumatic effects than others, since most of the movements a person performs with his right hand. Therefore, the bruise of the right humeroscopic articulation causes him special inconveniences.
Mechanism of contusion of soft periarticular tissues:
- Local adaptive reactions of the body to shoulder trauma of various etiologies are triggered.
- With closed bone joint injury, the integrity of muscle tissue, fatty tissue under the skin, blood vessels, nerve fibers and articular bag is compromised.
Symptoms have a different degree of severity
The nature of the clinical symptomatology is related to the depth of lesion of the humeroscapular articulation.
- The slight bruise of the shoulder joint is characterized by insignificant violations of the integrity of the surface tissues.
- Appear abrasions and scratches, which do not have a noticeable effect on the mobility of the joint.
- With the movement of the hand, a slight pain is possible, which in most cases passes within three to four days on its own.
- Most often the patient is suffering from the destruction of deep periarticular tissues.
- A few hours after injury, the volume of the damaged joint increases.
- In the affected area, hemorrhage develops - hemorrhage due to violation of the integrity of blood vessels. From damaged shoulder veins, arteries and small capillaries, blood seeps into the joint cavity.
- Subcutaneous hematoma is the concentration of coagulated blood emerging from the vessels at the junction of the head of the shoulder. Over time, it often reaches a significant size, reaching the loose subcutaneous tissue to the elbow elevation.
- There are destructive processes in the synovial junction of the joint. This leads to the formation of profuse serous effusion in the joint cavity. Here, a clear, yellowish liquid accumulates. Such pathological changes explains the formation of swelling in the region of the amplitude joint.
- Skin hyperemia occurs with the exfoliation of the epidermis.
- Not only the superficial tissues of the joint are being injured, but also the tendons, muscles.
- As a result of the rupture of these tissues, there is a sharp unbearable pain that is permanent and has a pronounced localization.
- The pathological condition of the joint significantly impairs its mobility in the affected segments. The volume of active movements is reduced. Soreness increases with the withdrawal of the shoulder.
- If blood vessels are damaged or nerves are hurt, there is a stitching pain. Movement in the joint is painful. The patient is disturbed by the expressed uncomfortable sensations in the region of the globular joint, even when stationary.
- Suddenly, a sensation of tingling and numbness in the shoulder may appear.
- Possible cartilage damage.
- The joint functions are violated. A spherical joint completely loses its motor ability.
- Transition to the chronic form of the disease is possible in case of unfavorable development of pathology and the lack of adequate treatment of serious damage to the cup-like joint.
Importance of accurate diagnosis of joint damage
To make a medical report of a trauma, a study is needed:
- Symptoms of various lesions of this joint often have a similar symptomatology. Therefore, it is necessary to differentiate the shoulder joint from other injuries: a fracture, dislocation of the head or neck of the shoulder, stretching the ligaments of this joint.
- To identify the cause of the violation of health, determine the degree of tissue trauma allows radiography of the joint, which is performed in two projections. If the shoulder is bruised, bone-traumatic changes in the X-ray image are not visible.
- Modern methods of X-ray computed tomography help to obtain a clear image of the affected tissue.
Complications of Closed Shoulder Joint Damage
The most common conditions accompanying severe shoulder trauma are:
- Traumatic aseptic bursitis. In the cavity of the periarticular synovial bag, hemorrhage and accumulation of hemorrhagic fluid occurs.
- Intermuscular hematoma. As a result of rupture of blood vessels there is a limited accumulation of blood in the muscles and joint tissues. The hematoma forms a pathological cavity in muscles, since it does not dissolve independently.
- Hemarthrosis. Dangerous bleeding in the joint cavity of the damaged humeral joint. It increases in size, its contours are smoothed out, mobility is limited. Acute pain causes suffering.
- Synovitis. Inflammation of the lining of the shoulder-elbow joint. A large pathological fluid is localized in its cavity.
- On the background of contusion of the shoulder, other complications often develop: an injury to the cuff of the joint, periarthrosis, arthrosis of the shoulder joint. These pathological conditions limit the amplitude of movement of the limb, reduce the quality of life of the victim.
- The disability of the patient can be the result of a severe bruise of the multi-axial articulation.
Treatment of a shoulder joint injury
Often, most victims ignore signs of trouble, believing that serious consequences of shoulder bruise will not occur. This is a misconception. Correct and timely medical care is very important.
Basic measures of shoulder injury:
- In case of injury, the limb of the patient can not be left without proper attention. The injured person with a joint injury should be under the supervision of a qualified physician who will prescribe the best suitable comprehensive treatment.
- To ensure the rest of the affected arm, use an orthopedic bandage to fix it.
- In case of a shoulder injury, the work activity is strictly counter-indicative and any physical activity is harmful.
- To stop the development of the hematoma and to ease the pain, immediately after the injury directly to the injured place it is necessary to attach cooling bags. If skin is not damaged, keep the cold at the site of the injury should be in the first day for 10 minutes, repeating this procedure every two to three hours.
- Anesthetics and medications prescribed by a doctor are used. During the first three days, general anesthesia with novocaine is carried out. For a month, local anesthesia with an ointment or cream is indicated. Dolobien gel removes swelling. Emulsion Riciniol will accelerate the healing of tissues.
Bruised hand: swollen, what should I do at home?
A hand injury means a trauma to the soft tissues of the limb, while maintaining the integrity of the skin and the absence of broken bones, sprains, ligament ruptures and tendons. Symptoms of such trauma are severe pain, swelling and bruises( bruises).
If a patient with a soft tissue injury is competent to provide first aid, which can be done at home, there will be no health problems in the future, and all discomfort will disappear with time. However, this can not be said about the bruises of the large joints of the arm - the shoulder and the elbow. Due to trauma in these anatomical structures, there may be a buildup of fluid( mainly blood flowing out of small vessels that burst under the influence of a traumatic factor), and nerves can also be damaged. Therefore, in such situations it is better to immediately consult a traumatologist.
When a patient's shoulder is bruised, pain, swelling of the limb in the projection of the injury. After a while, a hematoma appears, which subsequently changes color from red-blue to yellowish-green. The appearance of bruises and swelling is associated with damage to blood vessels in soft tissues, leakage of tissues with blood and the accumulation of intercellular fluid in them. The larger the vessel or blood vessels are affected, the more hematoma and the longer it dissolves. The first aid in case of a shoulder injury is the following: the patient must lift the affected limb and bandage it with an elastic bandage, after which it is necessary to impose a cold( special cooling pack or any improvised means).Since it is possible to remove the swelling from the hand after the fall and stop the bleeding in the soft tissues in this way, the described manipulations should be carried out as quickly as possible.
To reduce pain, you can give the patient an anesthetic drug inside( eg Ibuprofen).Well-proven with injuries anesthetic ointments with anti-inflammatory components( such as Diclofenac), and Traumeel C, which can be used even in children. In addition, the bruised limb should be spared at least the first few days after the injury.
After 2 - 3 days, the affected area can be started warming with compresses or ointments with a warming effect. This helps reduce puffiness and inflammation. To quickly dissolve hematoma, use a special external means with a directed effect on the blood, lymph vessels and microcirculation( Indovazin, Sinyak-off).
For injuries of the shoulder joint, in addition to the described symptoms( swelling, pain), the patient may complain that his arm does not rise. This sign indicates a rupture of tendons of the rotator cuff of the shoulder. This condition requires an immediate request to the doctor, because self-treatment only temporarily "masks" this problem and creates all the prerequisites for the development of complications.
An injury of the elbow joint often occurs when falls. This trauma is accompanied by very severe pain, since large nerves are located near the elbow. In addition, there is swelling and bruising. To reduce the pain and puffiness helps cold, which can be applied with small interruptions to the elbow until the unpleasant symptom disappears. A sick limb needs complete rest, a good effect is provided by an elastic bandage.
If in a day or two the soreness does not disappear and the stiffness of movements in the elbow remains, it is possible to assert with certainty that the fluid in the elbow joint has accumulated. This pathological condition should be treated with a traumatologist. It may be necessary to puncture the joint to remove the accumulated fluid and inject anti-inflammatory drugs.
Hand injury of the hand
Wrist of the wrist and hand has the following symptoms: pain during movement, swelling. To reduce these unpleasant consequences of injury, it is necessary to apply cold and apply an elastic bandage on the arm. If the brush is strongly swollen, movements in the fingers are disturbed or their deformities are noticeable, the traumatologist should be consulted immediately to avoid fracture.
What can not be done with bruises of the hand?
Proper first aid with bruises guarantees a quick recovery. For this, in addition to the above-described treatment measures, you should know what doctors do not recommend doing in such situations.
- Immediately after the injury, the place of injury can not be warmed. This can increase bleeding in the soft tissues and swelling of the hand.
- It is impossible to rub and massage the injured limb intensively, especially if it is not clear if there is a fracture or not( bone fragments can damage large vessels and nerves).
- Do not open the hematoma.
- You can not try to forcefully raise, bend your hand, squeeze your fingers into a fist, or carry out other similar movements with a limb.
If treatment at home does not help, as well as with a strong injury, you should always consult a doctor. To exclude more serious damage, it is necessary to carry out radiography or computed tomography. If a ligament rupture, a fracture or fracture is confirmed, special treatment will be required-the application of gypsum or even surgical intervention.