Common injuries among athletes, contusions often involve the muscles of the forearm and portion of the bony prominence of the elbow. In athletes, the forearm often absorbs the greatest portion of the impact – particularly in contact sports. This repeated force to the muscles can result in bruising and possibly bleeding, which produces stiffness during active range of motion activities. Occasionally a contusion is accompanied by a fracture, depending on the severity of the force.
Depending on the area impacted by the force, a contusion can also produce an actute hemorrhagic bursitis or a common chronic olecranon bursitis. A contusion to the ulnar nerve (an area often referred to as the “funny bone”) can be very painful and send burning sensations down the ulnar side of the forearm to the ring and little fingers.
Those at Risk
Athletes involved in high impact contact sports such as football, baseball and basketball are most likely to be affected by this condition, though contusions can also result from an accident or fall.
Patient history, combined with a thorough physical examination that includes range of motion tests, are used in diagnosing elbow trauma. An X-ray may be taken to identify a possible fracture, which sometimes accompanies a trauma resulting in a contusion.
Once any accompanying fracture is addressed, a period of rest followed by a series of range of motion exercises may be all that is necessary in the treatment of contusions to the elbow or forearm.