contusions

Question 1

what is a contusion

and what does it involve

Answer 1

crush injury to a muscle

damage to muscle fibers and resultant bleeding into subcutaneous tissue and skin

Question 2

the skin overlaying contusion is intact ?

Answer 2

YES

Question 3

what is a hematoma

Answer 3

large area of local hemorrhage following a trauma

Question 4

swelling of a hematoma is more rapid then swelling of edema because?

Answer 4

blood is under pressure by the arterial system

Question 5

pain is associated w hematoma because?

Answer 5

pooling of blood causes swelling and pain as it compresses nerve endings

Question 6

what is a myositis ossification

Answer 6

complication following hematoma

BLOOD WITHIN THE MUSCLE CALCIFIES

fibroblasts are replaced by osteoblasts, which lay down new bone over time

Question 7

cause of contusion?

Answer 7

direct blow to the muscle

Question 8

3 different severity types of contusion

Answer 8

mild - minimal bleeding, minimal loss of strength and ROM, continue w activity

moderate - difficulty continuing activity

severe- rapid bleeding and swelling, activity cannot be continued , goal is to control bleeding

Question 9

symptoms of mild contusion

Answer 9

minimal local edema, heat, bruising, tenderness

5-20% loss of ROM

Question 10

symptoms of moderate contusion

Answer 10

moderate swelling due to hematoma, heat, bruising

25-50% loss of ROM

Question 11

symptoms of severe contusion

Answer 11

rapid local swelling
severe pain
more than 50% loss of ROM
cant continue activity

Question 12

Pain free AROM is suitable for any stage

Answer 12

true

Question 13

late subacute =

Answer 13

introducing touch to decrease SNS firing, to desensitize area

guiding healing responses of the body

Question 14

there is a risk of rebleeding in the first ___ days

Answer 14

10

Question 15

can spasms and local inflammation occur in mm tissue containing myositis ossificans ?

Answer 15

you bet

Question 16

primary goal is to what?

Answer 16

control the bleeding

Question 17

several factors may increase bleeding , these activities are to be avoided

Answer 17

stretching
exercise
heat
alcohol
vigorous massage

Question 18

which muscle does a contusion most frequently happen to

Answer 18

quadriceps

Question 19

it may take up to __ hrs for bleeding to become apparent

Answer 19

24 hours

Question 20

on the palmar surface of hand, mms overlying hamate or pisiform bones can cause compression to what nerve

Answer 20

ulnar

Question 21

when do adhesions developed

Answer 21

early subacute

Question 22

in late subacute what is the protective mm spasm replaced by?

Answer 22

increased tone in the affected mm

Question 23

in which stage could the tissue feel cool due to ischemia

Answer 23

chronic stage

Question 24

what does a hematoma feel like in acute stage

Answer 24

demarcated lump

edema is firm

Question 25

where is PR rom for a mild contusion performed

Answer 25

cardinal planes of motion

Question 26

with moderate to severe contusions what test do you do ?

Answer 26

girth measurement

Question 27

CI: in acute stage, testing of a moderate-severe contusion other than ____(what kind of testing) is CI'd

Answer 27

pain free active range of motion

Question 28

in acute and early SA of moderate-severe , local and onsite work is CI'd but ________ is indicated

Answer 28

proximal lymphatic drainage

Question 29

distal circulation techniques are CI'd in acute and early SA to avoid ____________

Answer 29

increasing congestion through injury site