 Leg Stress Fracture, Tibia |
| Liver Injury |
| Neck Dislocation |
| Neck Fracture |
| Neck Sprain |
| Neck Strain |
| Nose Injury |
| Pelvis Strain, Hip-Trunk |
| Pelvis Strain, Ischium |
| Perineum Contusion |
| Rib Dislocation |
| Rib Fracture |
| Rib Sprain |
| Rib Strain |
| Shoulder-Blade (Scapula) Bursitis |
| Shoulder-Blade (Scapula) Contusion |
| Shoulder-Blade Fracture, Acromion |
| Shoulder-Blade (Scapula) Fracture, Coracoid Process |
| Shoulder-Blade (Scapula) Fracture, Glenoid Fossa |
| Shoulder-Blade (Scapula) Fracture, Neck |
| Shoulder-Blade (Scapula) Strain |
| Shoulder Bursitis, Gleno-Humeral |
| Shoulder Bursitis, Subacromial |
| Shoulder Contusion |
| Shoulder Dislocation |
| Shoulder Sprain, Acromio-Clavicular |
| Shoulder Sprain, Gleno-Humeral |
| Shoulder Strain |
| Shoulder Tendinitis & Tenosynovitis |
| Skin Abrasion |
| Skin Laceration |
| Skin Puncture Wound |
| Spine Fracture, Lower Thoracic & Lumber Region |
| Spine Fracture, Sacrum |
| Spine Fracture, Tailbone |
| Spine Stress-Fracture, Neck or Back |
| Spleen Rupture |
| Thigh-Bone Fracture |
| Thigh Contusion |
| Thigh Hematoma |
| Thigh Injury, Hamstring |
| Thigh Strain, Quadriceps |
| Thigh Strain |
| Thumb Fracture |
| Thumb Sprain |
| Toe Dislocation |
| Toe Exostosis |
| Toe Fracture |
| Tooth Injury & loss |
| Wrist Contusion |
| Wrist Dislocation, Lunate |
| Wrist Dislocation, Radius or Ulna |
| Wrist Ganglion |
| Wrist Sprain |
| Wrist Strain |
| Wrist Tenosynovitis |
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Perineum Contusion
A direct blow to the floor of the
pelvis and associated structures including the
genitals, causing bruising of skin and underlying
tissues. Contusions cause bleeding from
ruptured small capillaries that allow blood to infiltrate muscles, tendons, nerves or other soft tissue.
Body Parts Involved
- The perineum.
- Vaginal lips, mons pubis (pubic mound),
vagina, anus, penis, scrotum, testicles.
- Skin, subcutaneous tissue, tendons,
ligaments, blood vessels (both large vessels
and capillaries), periosteum (the outside lining of bone), muscles and connective tissue.
Causes
- Direct blow to the perineum, usually by a
blunt object or because of a fall.
- Damage to tiny blood vessels causing bleeding that infiltrates into muscle and other surrounding tissue.
Signs & Symptoms
- Swelling in the perineal area-either
superficial or deep.
- Pain in the perineum.
- Feeling of firmness when pressure is exerted
from outside.
- Tenderness.
- Discoloration under the skin beginning with redness and progressing to the characteristic "black and blue" discoloration.
Treatment
Note:- Follow your doctor's instructions. These instructions are supplemental.
First Aid
Use instructions for R.I.C.E., the first letters of rest, ice, compression and elevation (If possible).
Continuing Care
- Use an ice pack 3 or 4 times a day. Wrap ice chips or cubes in a plastic bag, and wrap the bag in a
moist towel. Place it over the injured area for 20 minutes at a time.
- After 72 hours, apply heat instead of ice, if it
feels better. Use heat lamps, hot soaks, hot heating pads, or heat liniments or ointments.
- Take whirlpool treatments, If available.
- Protect the injured area with pads between treatments.
Medication
- For minor discomfort, you may use non-prescription medicines such as acetaminophen or ibuprofen (available under many different brand names). Do not use aspirin for injuries involving bleeding.
- Your doctor may prescribe stronger medicine for pain, if needed.
Home Diet
Eat a well-balanced diet that includes extra protein, such as meat, fish, poultry, cheese, milk and eggs. Increase fiber and fluid, intake to prevent constipation that may result from decreased activity.
Diagnostic Measures
-
Your own observation of symptoms.
- Physical exam and medical history by a doctor for all except minor injuries. The total extent of injury may not be apparent for 48 to 72 hours.
- X-rays of the pelvis to assess total injury III
perineal soft tissue and to rule out the possibility of underlying fracture.
Prevention Tips
Usually cannot be prevented.
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