Knee abrasion
Hello Doctor, I would like to ask: Two days ago, while playing volleyball, I accidentally lost my balance and fell, causing my knee to hit the floor and get scraped, but it wasn't a hard impact.
There is a superficial abrasion, and I went to the health insurance office to apply antiseptic.
The next day, I put on a hydrocolloid dressing, but during volleyball practice on Tuesday night, I sweated and the dressing wouldn't stay on, so I removed it and let the wound be exposed to the air without applying any medication.
It wasn't until tonight that I reapplied antiseptic and put on a new hydrocolloid dressing.
However, starting at 10 PM, while lying in bed, my knee began to feel sore, and the wound is a bit painful, but the inside of my knee hurts a lot.
Is it possible that I have an infection, or could there be an internal injury from the impact? Thank you, Doctor, for your help.
Miss Hong, 10~19 year old female. Ask Date: 2018/04/12
Dr. Li Zhonghuai reply Surgery
Hello! It is recommended to see an orthopedic specialist and get an X-ray to check for any fractures in the patella.
Clean the wound, apply medication, and cover it with a bandage; please avoid using artificial skin for now.
Take care! Changhua Hospital cares about you!
Reply Date: 2018/04/12
More Info
Injuries to the knee, such as scrapes or abrasions, can lead to a variety of symptoms and potential complications. Based on your description, it sounds like you experienced a minor knee scrape during a volleyball game, which initially seemed manageable. However, the development of pain, especially deep within the knee, raises some concerns that warrant further exploration.
Symptoms and Initial Care
When you scraped your knee, the immediate symptoms likely included superficial pain, swelling, and possibly some bleeding. The fact that you sought care and applied antiseptic and artificial skin is a good first step in managing a superficial wound. However, the subsequent pain you experienced, particularly deep in the knee joint, could indicate a more serious underlying issue.
Potential Complications
1. Infection: One of the most common complications following any skin injury is infection. Signs of infection include increased redness, swelling, warmth around the wound, and the presence of pus or discharge. If the pain in your knee worsens, or if you notice any of these signs, it is crucial to seek medical attention promptly.
2. Internal Injury: Although you mentioned that the impact was not severe, it is still possible to sustain internal injuries such as a sprain or strain to the ligaments or tendons around the knee joint. This could lead to pain that feels deep within the knee, especially when moving or bearing weight on it.
3. Bursitis or Tendonitis: The trauma from the fall could have irritated the bursae (small fluid-filled sacs that cushion the knee joint) or the tendons around the knee. This irritation can cause localized pain and swelling, which may feel like deep pain in the knee.
4. Cartilage Damage: In some cases, a fall can lead to damage to the cartilage within the knee joint, which can result in pain, swelling, and a feeling of instability.
Recommendations
Given your symptoms, here are some steps you should consider:
- Rest and Ice: Avoid putting weight on the injured knee and apply ice to reduce swelling and pain. Ice should be applied for 15-20 minutes every hour as needed.
- Elevation: Keep your knee elevated to help reduce swelling.
- Pain Management: Over-the-counter pain relievers such as acetaminophen or ibuprofen can help manage pain and inflammation.
- Monitor Symptoms: Keep an eye on your symptoms. If you notice increased pain, swelling, or any signs of infection, it is essential to seek medical attention.
- Follow-Up Care: If the pain persists or worsens, or if you have difficulty moving your knee, you should consult a healthcare professional. They may recommend imaging studies, such as an X-ray or MRI, to assess for any internal injuries.
Conclusion
While many knee scrapes heal without complications, the symptoms you are experiencing suggest that further evaluation may be necessary. It is essential to listen to your body and not ignore persistent or worsening pain. Early intervention can prevent more serious complications and promote a quicker recovery. If you have any doubts or concerns, do not hesitate to reach out to a healthcare provider for a thorough evaluation.
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