A quadricep contusion is a bruise of the thigh muscle caused by blunt force trauma. It results in bleeding within the muscle. Symptoms include swelling, tenderness, pain, and limited range of motion. Contusions are classified as mild, moderate, or severe depending on factors like range of knee flexion, ability to walk, and average time lost from activities. Treatment involves RICE (rest, ice, compression, and elevation), bracing, NSAIDs, and physical therapy starting with isometric exercises and stretching, then progressing to full range of motion and functional rehabilitation.

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 .