Basildon EM Handbook 2018

Muscle haematoma

March 2018 | by EMauthor

•Swelling and tenderness over muscle groups following muscle tear from direct injury or sudden muscle contraction

•Exclude any bony injury with x-ray if indicated

•Exclude neuro-vascular injury

•Exclude compartment syndrome

•Ensure that patient is not on warfarin or suffer from bleeding tendency

•Treat with support, analgesia and early physiotherapy

•Arrange follow up for large haematomas especially on the thigh or buttocks

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