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Title: The management of a quadricep hematoma from acute injury to the end stage of rehabilitation : a critical discussion
Authors: Chien, CW
Chien, WT 
Issue Date: 2017
Publisher: Nova Science Publishers, Inc.
Source: In LV Berhardt (Ed.), Advances in medicine and biology, v. 120, p. 187-199. New York: Nova Science Publishers, Inc., 2017 How to cite?
Abstract: A quadriceps hematoma is a local accumulation of blood in the tissue or its space of four large muscles (quadriceps) on the front/anterior of the thigh. It is a common athletic injury in contact sports such as soccer and rugby due to a contusion (direct blow) to or a tear/rupture of the muscle group, affecting the extension of the knee and/or flexion of the hip (if involved the rectus femoris muscle). Management of a quadriceps hematoma from acute injury to end stage of rehabilitation has been essentially required and difficult task for a sport rehabilitation and physiotherapy professionals. This injury can have significant impacts on an athlete's physical condition/performance, ranging from short-term mobility impairment, muscle deconditioning and compartmental syndromes, to long-term problems such as myositis ossificans and muscle re-injury. It is interesting to find out from the recent literature that there is not having any standard treatment protocol and the causality/sufferer may have different clinical manifestations, locations and severity of the injury. Nevertheless, there are a few commonly accepted strategies/principles in treating its acute and subsequent resolution phase to be discussed in this chapter. While the PRICEM principle (particularly ice treatment) can be used to reduce the hematoma, inflammatory reaction and pain and provide rest/protection to the injured site during the first 24-72 hours of injury, a few strategies (especially PSWT, hot application and range of movement exercises) can subsequently (3-5 days after injury) promote early resolution of the hematoma, tissue repairing and mobilization of the injured limb. When applying these treatment strategies, it is important for the therapist to understand the principles and scientific rationale for each approach to treatment and carefully assess the causality's condition of and contraindications to the treatment to ensure safe and effective interventions provided. Further research is recommended to test the effectiveness of these interventions in quadriceps hematoma in terms of different injury conditions and treatment phases, and thus establish a standardized treatment protocol of this injury.
ISBN: 9781536118070
Appears in Collections:Book Chapter

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