Bruises and Joint Injuries After a Motorcycle Accident

The relationship between contusions and joint impacts after a car accident?

Hello, Doctor: On April 19, I fell while riding my motorcycle and sustained three abrasions on my left knee, which are not very deep.
Initially, I was able to walk with my left leg straight, but after 24 hours, I noticed that my knee had swollen, and there was slight swelling in my calf and foot, making it difficult to walk straight.
After two days, the injury has slowly started to heal, and the secretion of tissue fluid has decreased.
I would like to ask: 1.
Is it possible that, in addition to the external injury, there is also internal damage to the knee, causing swelling due to impaired circulation of blood below the knee? 2.
Which department should I consult for treatment? Rehabilitation, Orthopedics, or Traditional Chinese Medicine? 3.
What should I do if the injury has not fully healed? Can I still seek medical attention? Will it be difficult to treat? Please answer my questions.
Thank you!

rosier, 20~29 year old female. Ask Date: 2007/04/22

Dr. Zhang Shengben reply Orthopedics

1.
An X-ray should be performed to assess for fractures or soft tissue contusions.
2.
An orthopedic evaluation should be conducted to check for hematoma in the knee joint cavity or associated ligament and meniscal injuries.
3.
Medical attention should be sought promptly.
Hualien Hospital Orthopedics cares about you.

Reply Date: 2007/04/22

More Info

After a motorcycle accident, it is common to experience bruising and joint injuries, particularly in the knees and legs. Based on your description, it seems that you sustained some superficial abrasions on your left knee, but the swelling and inability to fully extend your leg suggest that there may be more going on beneath the surface.

1. Internal Injuries and Swelling: The swelling you are experiencing in your knee and lower leg could indeed indicate that there is some internal injury. While the abrasions are superficial, the knee joint itself may have sustained a sprain or strain, which can lead to swelling due to inflammation. Additionally, if there is any bleeding within the joint (hemarthrosis), it can cause significant swelling and pain. The swelling can also impede blood circulation in the lower leg, leading to further complications if not addressed.

2. Which Specialist to See: Given your symptoms, it would be advisable to consult an orthopedic specialist first. Orthopedic doctors specialize in musculoskeletal injuries and can assess whether there are any fractures, ligament injuries, or other internal damage to the knee. They may recommend imaging studies such as X-rays or an MRI to get a clearer picture of the injury. If the orthopedic evaluation indicates that physical therapy is needed for rehabilitation, they may refer you to a physical therapist. Traditional Chinese medicine could also be an option for complementary treatment, but it is essential to have a clear diagnosis from an orthopedic perspective first.

3. Seeking Medical Attention: It is crucial to seek medical attention even if the external injuries appear to be healing. The fact that you are experiencing swelling and difficulty in movement suggests that there may be underlying issues that need to be addressed. Delaying treatment could lead to chronic problems or prolonged recovery. An orthopedic evaluation will help determine the extent of your injuries and the appropriate treatment plan.
In the meantime, it is advisable to rest the affected leg, apply ice to reduce swelling, and elevate the leg when possible. Over-the-counter pain relievers can help manage discomfort. Avoid putting weight on the injured leg until you have been evaluated by a healthcare professional.

In summary, while your initial injuries may seem minor, the symptoms of swelling and limited mobility indicate that further evaluation is necessary. An orthopedic specialist will be able to provide a comprehensive assessment and guide you on the best course of action for recovery. Early intervention is key to preventing long-term complications and ensuring a full return to your normal activities.

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