Wednesday, April 21, 2010

Hand Hematoma

A collection of pooled blood in a small space on the back or palm of the hand

BODY PARTS INVOLVED

  • Back or palm of the hand.
  • Soft tissue surrounding the hematoma, including nerves, tendons, ligaments, muscles and blood vessels.

Causes

Direct blow to the hand,usually with a blunt object. Bleeding into the tissue causes the surrounding tissue to be pushed away.

Signs & Symptoms

  • Swelling over the injury site.
  • Fluctuance (feeling of tenseness to the touch, like pushing on an overinflated balloon).
  • Tenderness.
  • Redness that progresses through several color changes-purple, green-yellow and yellow-before it completely heals.

Treatment

Follow your doctor's instructions. Instructions are supplemental.

  • Use ice soaks 3 or 4 times a day. Fill a bucket with ice water, and soak the injured area for 20 minutes at a time.
  • After 48 hours, localized heat promotes healing by increasing blood circulation in the injured area.Use hot baths, showers,compresses,heat lamps,heating pads,heat ointments and liniments, or whirlpools.
  • Don't massage the hand. You may trigger bleeding again.

MEDICATION

  • For minor discomfort, you may use: Non-prescription medicines such as acetaminophen or ibuprofen. Topical liniments and ointments.
  • Your doctor may prescribe stronger medicine for pain, if needed.

Home Diet

During recovery, eat a well-balanced diet that includes extra protein, such as meat, fish, poultry, cheese, milk and eggs.

Prevention Tips
  • Protect the hand with padding if there is a risk of hand injury during participation In athletic activity.
  • If you must compete before healing,use tape, padding, splints or a cast to prevent re-injury.

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