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COntU51on
Quadricep Contusion
Contusions
Caused by impac t to a muscle. a quadrioep for example.
_,.,.thig)I . ........._. ... ...,.h
1
.,. 1twt=~~11nr
~ -
Pubali Kalita
BPT
Quaclricep Contusion
- It usually happens when someone gets
hard badly in the thigh region .
- It is more common in athletics . So ,in
sports padding is of utmost importance .
-Mechanism of injury is basically direct
blow to the quadriceps muscle .
r
of the thlg
at the level
indicated
Blunt trauma to the thigh
that causes bleeding deep
within the m115Cle
Contusions
Caused by impact to a muscle, a quadricep for example:
Front of the lhJgh
(quadriceps
muade)
{CroM Stttion
o( the thigh
rJ at the level
( Indicated
Blunt trauma lo the thigh
lh&t aLdn bleeding deep
w ithin the muscle
Quadricep Contusion
Clinical Presentation :
Swelling
Tenderness
Haematoma formation (skin
discoloration)
Pain
Limited range of motion
Blunt traWM lo tM lh.Jgh
INI CIUHSblttdlft8 dttp
within the 11111.sde
Quaclricep Contusion
Classification
- Mild pain (Active knee flexion : >
90degree,
Gait : normal , Average loss of activity :
6 days , Description :
Capillary rupture - Blood
into connective tissue , Mild
ecchymosis , Feels soreness after
cooling down or the fallowing day , The
injured area may be tender to touch ,
Ability to stretch the muscle may be
reduced slightly , The strength of the
muscle may also be slightly affected.
0 Quadriceps
Contusion
Shani tnum.a to the thigh
lhatCIUHS blttdlng deep
within the muscle
Quadricep Contusion
Classification
- Moderate Pain
•
t lhe ln
indicatN
( Active knee flexion 45 - 90 degree ,
Gait: Antalgic gait, Average loss of
activity : 56 days ,
Description : Crushing of the muscle
fibres with vasomotor reaction ,
Minimum stiffness after rest,
Swelling , Pain , Tenderness . )
o Quadriceps
Contusion
Blunt trauma IO tM thigh
U..t,...,.blttdlng dttp
within the muscie
Quadricep Contusion
Classification
-Severe Pain
(Active knee flexion : <45 degree ,
Gait : Severely antalgic gait , Average
loss of activity : > 60 days ,
Description : Rapid swelling and
bleeding , The patient will be unable to
walk properly without the aid of
crutches , Pain , Tenderness .
0 Quadriceps
Contusion
Blunt trauma to the thigh
INIcauses bleedingdttp
within the mmde
Quadricep Contusion
Management :
NSAIDs
Bracing followed by physiotherapy .
PT Mx - Initially follow the protocol
Rice , Ice , Compression .
Immobilization (hinged knee brace )
Frequentcryotherapy
After removing brace go for isometric
exercise of the quads then AROM &
PROM quads stretching till pain free
range initially then with time progress
with it , functional rehabilitation .
Quadricep Contusion.pdf

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Quadricep Contusion.pdf

  • 1. COntU51on Quadricep Contusion Contusions Caused by impac t to a muscle. a quadrioep for example. _,.,.thig)I . ........._. ... ...,.h 1 .,. 1twt=~~11nr ~ - Pubali Kalita BPT
  • 2. Quaclricep Contusion - It usually happens when someone gets hard badly in the thigh region . - It is more common in athletics . So ,in sports padding is of utmost importance . -Mechanism of injury is basically direct blow to the quadriceps muscle . r of the thlg at the level indicated Blunt trauma to the thigh that causes bleeding deep within the m115Cle
  • 3. Contusions Caused by impact to a muscle, a quadricep for example: Front of the lhJgh (quadriceps muade) {CroM Stttion o( the thigh rJ at the level ( Indicated Blunt trauma lo the thigh lh&t aLdn bleeding deep w ithin the muscle
  • 4. Quadricep Contusion Clinical Presentation : Swelling Tenderness Haematoma formation (skin discoloration) Pain Limited range of motion Blunt traWM lo tM lh.Jgh INI CIUHSblttdlft8 dttp within the 11111.sde
  • 5. Quaclricep Contusion Classification - Mild pain (Active knee flexion : > 90degree, Gait : normal , Average loss of activity : 6 days , Description : Capillary rupture - Blood into connective tissue , Mild ecchymosis , Feels soreness after cooling down or the fallowing day , The injured area may be tender to touch , Ability to stretch the muscle may be reduced slightly , The strength of the muscle may also be slightly affected. 0 Quadriceps Contusion Shani tnum.a to the thigh lhatCIUHS blttdlng deep within the muscle
  • 6. Quadricep Contusion Classification - Moderate Pain • t lhe ln indicatN ( Active knee flexion 45 - 90 degree , Gait: Antalgic gait, Average loss of activity : 56 days , Description : Crushing of the muscle fibres with vasomotor reaction , Minimum stiffness after rest, Swelling , Pain , Tenderness . ) o Quadriceps Contusion Blunt trauma IO tM thigh U..t,...,.blttdlng dttp within the muscie
  • 7. Quadricep Contusion Classification -Severe Pain (Active knee flexion : <45 degree , Gait : Severely antalgic gait , Average loss of activity : > 60 days , Description : Rapid swelling and bleeding , The patient will be unable to walk properly without the aid of crutches , Pain , Tenderness . 0 Quadriceps Contusion Blunt trauma to the thigh INIcauses bleedingdttp within the mmde
  • 8. Quadricep Contusion Management : NSAIDs Bracing followed by physiotherapy . PT Mx - Initially follow the protocol Rice , Ice , Compression . Immobilization (hinged knee brace ) Frequentcryotherapy After removing brace go for isometric exercise of the quads then AROM & PROM quads stretching till pain free range initially then with time progress with it , functional rehabilitation .