Hip Bruise

A bruise (contusion) happens when small blood vessels break open and leak blood into the nearby area. A hip bruise can result from a bump, hit, or fall. Symptoms of a bruise often include changes in skin color, swelling, and pain. It may take several hours for a deep bruise to show up. If the injury is severe, you may need an X-ray to check for broken bones. Swelling should decrease in a few days. Bruising and pain may take several weeks to go away.

Home care

• Unless another medicine was prescribed, you may take acetaminophen, ibuprofen, or naproxen to help relieve pain and swelling. If needed, stronger pain medicines may be prescribed. Take all medicines as directed by your provider.

• Ice the bruised area to help reduce pain and swelling. To make an ice pack, place ice cubes in a plastic bag that seals at the top. Wrap the bag in a thin towel. On the first day, apply the cold pack to the bruised area for 20 minutes every 1 to 2 hours. Then, use an ice pack 3 to 4 times a day until the pain and swelling goes away.

• If walking causes pain, use crutches or a walker until you can walk without pain. These items can be rented at most drugstores and medical or orthopedic supply stores.

• If your injury is keeping you from moving around or caring for yourself correctly, you may qualify for services, such as home healthcare. Check with your healthcare provider and insurance company to see if this type of care is covered by your plan.

Follow-up

Follow up with your provider as advised.

When to get medical care 

Call your provider right away if any of these take place:

• Increased pain, bruising, or swelling near the injured area

• Decreased ability to bear weight on the injured side

• Pain or swelling develops below the knee

• Chest pain or shortness of breath

© 2000-2022 The StayWell Company, LLC. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional’s instructions.

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Hip Contusion – Upswing Health

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Hip Contusion

A hip contusion, or bruising of the hip, is a mild injury that can occur as a result of a direct impact to the hip. When a bruise or contusion occurs, the small blood vessels get damaged and blood leaks out under the skin causing the typical swelling and bruising seen in these injuries.

While a hip contusion is uncomfortable and may temporarily make it difficult to walk or use your hip normally, it’s an injury that typically resolves quickly.
Sometimes, especially in the sporting world, these injuries are called ‘Hip pointers’.

Overview

A hip  contusion, or bruising of the hip, is a mild injury that can occur as a result of a direct impact to the hip. When a bruise or contusion occurs, the small blood vessels get damaged and blood leaks out under the skin causing the typical swelling and bruising seen in these injuries.

While a hip contusion is uncomfortable and may temporarily make it difficult to walk or use your hip normally, it’s an injury that typically resolves quickly.

Sometimes, especially in the sporting world, these injuries are called ‘Hip pointers’.

What causes Hip Contusion?

A hip contusion usually results from a direct blow to the hip from an object or another person. It can also occur as a consequence of striking your hip during a fall. Any blunt trauma with sufficient force to propel its energy into the muscle can cause a contusion. Contusions are often the result of sports-related injuries. Hip  contusions are common in contact sports especially the following;

• Football
• Rugby
• Lacrosse
• Soccer
• Basketball

Risk factors for a hip contusion or a hip pointer include participation in contact sports and wearing limited or no padding or protective equipment in the region.

Symptoms

If you have a hip Contusion, you may have these symptoms:

• Pain and/or stiffness in the hip
• Ecchymoses, or ‘black and blue’ bruising and/or redness.
• Swelling of the hip
• Difficulty weight bearing and/or limping

If you have a hip contusion you are usually able to put some pressure on your hip and move the hip but with some discomfort.

When to see a doctor

Although a hip contusion doesn’t usually require medical treatment, you may need to see your doctor to make sure that you don’t have a more serious injury. Make an appointment to see your doctor if you injure your hip and have swelling/pain that gets worse instead of better, have a lot of bruising or swelling in your hip,  or have trouble weight bearing. Your doctor will ask you about your injury and your symptoms and examine your hip. In order to rule out another injury, your doctor may order an  x-ray or MRI to get a better look at the bones and soft tissues of your hip.

Non-operative treatment

Hip contusions are always treated nonoperatively. Conservative treatments include:

• Laying flat to take your weight off the hip
• Crutches or a cane as needed
• Rest, including taking a break from play
• Icing your hip (every one to two hours for 20 minutes) – The general recommendation is to avoid heat during the first 24-48 hours to avoid increasing the extent of bleeding and swelling.
• Over-the-counter pain medication, like ibuprofen or acetaminophen, if needed
• Severe contusions are often treated by a Physical Therapist or an Athletic Trainer. They are often the best people to advise you on when it is safe to return to your sport.

Try these exercises to help address your condition:

Below is a PDF of the Exercise Program

Hip Contusion

Recovery

After a hip  contusion, you may be able to restart normal activities after just a few days, though more severe contusions may require several weeks of resting your hip. You should start stretching exercises within a few days of your injury and progress to strengthening and weight-bearing  exercises, under the guidance of your doctor or physical therapist. You can return to play once you’ve regained your full range of motion and strength of your ankle, knee and hip.

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Contusion of the hip joint, hips, causes, symptoms and treatment

Contusion – mechanical damage to soft tissues in the area of ​​the hip joint and part of the lower limb, in which there are no significant violations of their structures. The skin, subcutaneous fatty tissue, periosteum, muscles are damaged, especially with a heavy blow, soft tissues suffer. Injuries happen to people of all ages and for a variety of reasons. They often occur in everyday life, during sports, when falling on their side, hitting, colliding. The most persistent symptoms are pain, swelling, limited mobility, and bruising. Orthopedists and traumatologists are engaged in the diagnosis and treatment of a bruised hip joint.

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An accurate diagnosis, determining the causes and nature of the disease, and prescribing effective treatment can only be done by a qualified doctor at an internal appointment.

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st. Kasatkina, 3 Dubrovka
st. Sharikopodshipnikovskaya, 1 Sokolniki
st. Stromynka, 11

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Causes

Tissue damage in the hip joint, thigh occurs under the influence of a mechanical factor. A bruise can be received when falling, twisting a leg, from a blow with a blunt object, in conditions of industrial, domestic, sports, street injuries, traffic accidents, as a result of natural and industrial disasters, criminal incidents.

Article checked

Kuchenkov A. V.

Orthopedist • Traumatologist • Surgeon • Phlebologist • Sports doctor • 25 years of experience

Publication date: March 24, 2021

Review date: February 14, 2023

Article content

Symptoms

9 0048 Diagnosis

Diagnosis of contusion of the hip joint, hips are carried out by specialists from the field of traumatology and orthopedics. The doctor conducts an external examination, evaluates the extent and depth of the injury, the quality and amplitude of movements, and finds out the cause of the injury. To clarify the diagnosis with a bruise, to exclude bone pathology, radiography of the hip joint, femur is performed. The study allows you to confirm the integrity of the bones, determine the shape, size and structure of the joint under study, the consequences of injury. With insufficient information content of radiography, and for detailed planning of therapeutic measures, arthroscopy, computed tomography or magnetic resonance imaging are prescribed.

Emergency care

Treatment

Prevention

Consequences and complications

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Article checked

Moskaleva V.V.

Editor • Journalist • Experience 10 years

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How to treat a hip bruise and what the consequences of an injury can be

Hip contusion is a common closed soft tissue injury of the lower extremity. You can get it when playing sports, with an unsuccessful fall or a strong blow. The risk of damage increases in winter due to ice. In some cases, the leg is injured slightly, the pain and bruising disappear quickly, without consequences. But more serious injuries are also possible, fraught with complications and requiring long-term treatment.

For the most accurate formulation of the diagnosis and the convenience of recording it in medical records, all pathologies and injuries are coded according to the international classification. All superficial injuries in the area of ​​the thigh and hip joint are alphanumerically coded as S70. When specifying the location and nature of the injury, the diagnosis of hip contusion is recorded with the code S70.1.

Mechanism and causes of hip injury

The essence of the injury is extensive damage to small and large blood vessels, muscle and tendon fibers. When capillaries break, a bruise is formed, while veins and arteries form a subcutaneous or deeper hematoma. Sometimes blood is poured into the joint cavity and hemarthrosis is formed.

The causes of injury can be:

• sports, especially contact sports;
• falls from a height, including own growth;
• blows (during an accident or a brawl, for example).

Injury classification

Depending on the strength of the mechanical impact and the nature of the damage, the contusion of the femoral region has 4 degrees of severity:

• The first is the easiest, characterized by a mild and quickly passing pain syndrome. A small hematoma forms at the site of impact, which resolves within 5 or 6 days.
• The second – edema develops, subcutaneous hemorrhage is more extensive, the pain is constant, aching in nature. Not only vessels are damaged, but also muscle fibers, pain during movement and palpation intensifies.
• Third – in addition to muscle tissue, connective tissue (ligaments, tendons) is injured. Edema, bruising, restriction of movement and severe pain are observed.
• The fourth is a life-threatening injury. Against the background of all the listed signs of the 3rd degree, inflammation develops. Body temperature rises, lymph nodes may increase.

Symptoms and signs of injury

Closed damage to the soft tissues of the thigh has the following symptoms:

• Pain that may be mild at first. However, as edema develops, as with palpation, it increases significantly.
• Redness and swelling of injured tissues, the appearance of hematomas.
• Some limitation of mobility in the joint, lameness when walking.

Note! If a hemorrhage occurs in the joint cavity, it swells noticeably, and the pain becomes intense. This condition requires urgent hospitalization, since internal bleeding can last a day.

The difference between a bruise and a fracture

A bruise at first glance is difficult to distinguish from a fracture, very often the symptoms of both injuries are similar. With a broken femoral neck, especially in older people, the ability to move around is often preserved, and the pain syndrome is not very pronounced.

As a result, taking a fracture for a bruise, a person does not seek medical help, using tight bandages and ointments for pain relief at home. The result of such self-treatment is improper bone fusion, articular contractures, and restrictions in movement.

It is important! Seeing a doctor for any injury and establishing an accurate diagnosis is a prerequisite for recovery.

You can independently determine the nature of the damage by several signs: pain, even mild, does not go away for a long time, and the injured leg is also slightly shortened.

The most reliable diagnostic symptom is sticky heel syndrome. In the event of a fracture, a person lying on his back cannot tear his leg bent at the knee off the floor. If such a symptom appeared after a bruise, you should immediately contact a traumatologist.

First aid for hip injury

Before the arrival of the doctors, the victim must be laid down, and the injured leg should be slightly raised. This will help stop internal bleeding and swelling. Then you need to make a tight bandage and be sure to attach something cold: a bottle of water, a heating pad or an ice pack.

If the pain is very severe, you can give an analgesic (1-2 tablets of Analgin, Ibuprofen).

It is important! Even if the bruise seems insignificant, it is necessary to contact a traumatologist. Often internal deep hematomas develop, which then lead to serious complications.

Diagnostics

After examination and palpation of the injury, questioning the victim, the traumatologist makes a preliminary diagnosis.

To confirm it, an X-ray examination is done.

The method of magnetic resonance imaging detects all major and minor tissue injuries: internal hematomas, skin detachment, neck fracture, muscle avulsion. Muscle pinching is determined by measuring the pressure in the osteofascial beds.

Bruise treatment

It is carried out on an outpatient basis. The injury of the first degree passes on its own, in other cases, physical rest is indicated in the first week, taking anti-inflammatory drugs, analgesics.

Pain relievers and venotonics are used externally.

On the first day, cold is applied, then warming up, electrophoresis with potassium and novocaine, and massage are needed.

You can wear a special bandage or bandage.

Medical treatment

It consists of a complex application of oral and external agents. Inside, Indomethacin or Diclofenac are prescribed – NSAIDs that relieve pain and inflammation. Locally, the bruised area is treated with venotonics (gels and ointments Troxevasin, Lyoton, Heparin) and painkillers such as Nise, Voltaren.

Surgical intervention

This method of treatment is required if tissues are significantly damaged, extensive hematomas and hemarthrosis are formed. The surgeon in this case removes non-viable tissue, blood clots, installs drainage and sutures the wound.

Subsequently, antibiotic therapy is required to prevent postoperative complications.

Folk remedies

You can use safe folk remedies as an addition to the main treatment. A cabbage leaf applied at night helps to relieve swelling.

For anesthesia, a mixture of camphor oil with water (1:10), used for lotions, is suitable.

An infusion of cinquefoil (a tablespoon per liter of boiling water) is taken orally in 5 doses during the day, and a compress is made from the cake after filtering.

Possible complications and consequences

Despite the fact that bones are not damaged during a bruise, and soft tissues recover quickly, the risk of complications is quite high. If a bruise is not diagnosed and treated in time, pathologies that require long and complex treatment occur.

Hematoma inflammation

Extensive internal soft tissue hemorrhage, if not removed, may encapsulate over time. A dense shell forms around the hematoma, and the contents become infected with anaerobic bacteria.

Detachment of the skin

Significant mechanical impact can lead to exfoliation of the skin from the underlying tissues. In this case, a cavity filled with blood is formed between them. This condition, called Morel-Lavalle disease, is fraught with inflammation, suppuration and necrosis of the skin.

Case syndrome

If pronounced edema is formed, muscle pinching in their fascial beds may occur. As a result, severe pain of a bursting nature and numbness appear. Treatment is possible only surgical.

arthrosis

This is the name of a long-term consequence of a hip injury – chronic inflammation of the joint. Especially often observed in athletes as a result of regular injury. It is accompanied by degeneration of cartilaginous tissue, pain syndrome, dysfunction of the joint.

rehabilitation period

The recovery time depends on the severity of the injury.