Doctor's Notes on Hip Contusion Symptoms, Treatment, and Recovery Time
A hip contusion is an injury to the tissues around the hip joint caused by capillary breaks that allow blood into the hip joint tissues (a bruise). Signs and symptoms of a hip contusion are swelling within the muscles and tendons; the hip muscles may spasm and are painful to move. The bone and bursa may also be bruised so the structures can become inflamed and limited in their range of motion. The skin may be visibly bruised close to the joint.
The cause of a hip contusion is usually a blunt force that hits the area close to the hip joint (for example, a fall from a ladder, football injury or auto accident).
Hip Contusion Symptoms, Treatment, and Recovery Time Symptoms
Hip contusions can affect any of the structures that compose the joint.
- Contusions can cause swelling within the muscles and tendons surrounding the hip. The muscles may go into spasm as the hip tries to move. When the injured muscle stretches, pain increases.
- The injury may affect the fluid-filled sacs (bursae) that provide a gliding surface for the tissues around the joint. If the bursa becomes inflamed (bursitis), there can be local tenderness.
- The bone itself can become bruised and painful. Rarely, the contusion can cause swelling and bleeding within the joint. Increased amount of fluid within the joint leads to further decreased range of motion.
- Contusion can cause increased pain in a joint that is already inflamed. Patients who have arthritis can have significant pain with a relatively minor injury because of the underlying damaged already present within the hip joint.
Bursitis is inflammation of the bursae, the fluid-filled sacs that protect against friction between bones and other tissues. Depending on the location in the body, bursae may cushion bones from other bones, tendons, muscle, or skin. Bursitis can occur in many areas of the body. It is most common in the elbows and wrists. The ankles, hips, or knees may also be affected. Bursitis is caused by overuse injury or other trauma. Repetitive movements increase the risk of bursitis. Certain conditions like thyroid disease, diabetes, arthritis, and infections can inflame the bursa.
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Kasper, D.L., et al., eds. Harrison's Principles of Internal Medicine, 19th Ed. United States: McGraw-Hill Education, 2015.