Hand Contusion

Bruising of the skin and underlying tissues of the hand due to a direct blow. Contusions cause bleeding from ruptured. small capillaries that allow blood to infiltrate muscles, tendons or other soft tissue. The hand is especially vulnerable to contusions because of its exposure and use in almost all sports.

BODY PARTS INVOLVED

Hand tissues, including blood vessels, muscles, tendons, nerves, covering to bones (periosteum) and connective tissue.

Causes

Direct blow to the hand, usually from a blunt object.

Signs & Symptoms

• Swelling on the back or in the palm of the hand. Swelling may be superficial or deep.
• Pain and tenderness over the injury.
• Feeling of firmness when pressure is exerted on the injured area.
• Discoloration under the skin, beginning with redness and progressing to the characteristic "black and blue" bruise.
• Restricted hand motion proportional to the extent of injury.

Treatment

Follow your doctor's instructions. Instructions are supplemental.

• Wrap an elasticized bandage over a felt pad injured area. Keep the area compressed for about 72 hours.
• After 72 hours, apply heat instead of ice if it feels better. Use heat lamps, hot soaks, hot showers, heating pads, heat liniments or ointments or whirlpool treatments.
• Massage gently and often with light lubricating oil to provide comfort and decrease swelling. Stroke from the fingers toward the shoulder

Home Diet

During recovery ,Eat a well-balanced diet that includes extra protein, such as meat, fish, poultry, cheese, milk and eggs. Increase fiber and fluid intake to prevent constipation that may result from decreased activity.Your doctor may prescribe vitamin and mineral supplements to promote healing.

Prevention Tips

If possible, wear appropriate protective padding during competition or other athletic activity. If you must compete before a hand contusion heals, use padding, tape or a cast.