Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

What Could Hematoma On Knuckles Suggest?

I had a .5 golf ball size hematoma on the top, close to knuckles on right hand on 2/9. The week after the trauma it would turn bright red in the evening.( While making dinner) Now , 9 days later I have a painful filled sack between the knuckles ( size of Quarter) . Do I need to follow up with doc?
Mon, 23 May 2016
Report Abuse
Internal Medicine Specialist 's  Response
Brief Answer:
You should see a surgeon.

Detailed Answer:
Hello,
Thank you for using HCM.
Generally the subcutaneous hematomas after trauma does reabsorb by them self's within three weeks or less. The color changes from that of a purplish-blue bruise to yellow and brown as the blood chemicals gradually are metabolized and the hematoma resolves. In case of persistence and organisation within a sack, as in your case, then should be done an ecography and then should be evaluated by a surgeon. The surgeon will evaluate the possibility to drain it by opening up the area (either to insert a needle or catheter-type device) . As it hurts , may be the hematoma is infected because it is a favorable place for bacteria to grow. You should take some oral antiinflamator drugs such as ibuprofen tablets 400 mg , 3 times a day after meals or diclofenac tablets 75 mg , 2 times a day after meal. Your surgeon, after visiting you, will decide for draining or not and if you need any additional therapy with antibiotics or not.

Hope this is helpful.
Let me know if you need more clarifications. Otherwise please close and rate the answer.
Kind Regards,
Dr. Juarda
I find this answer helpful

Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Loading Online Doctors....
What Could Hematoma On Knuckles Suggest?

Brief Answer: You should see a surgeon. Detailed Answer: Hello, Thank you for using HCM. Generally the subcutaneous hematomas after trauma does reabsorb by them self s within three weeks or less. The color changes from that of a purplish-blue bruise to yellow and brown as the blood chemicals gradually are metabolized and the hematoma resolves. In case of persistence and organisation within a sack, as in your case, then should be done an ecography and then should be evaluated by a surgeon. The surgeon will evaluate the possibility to drain it by opening up the area (either to insert a needle or catheter-type device) . As it hurts , may be the hematoma is infected because it is a favorable place for bacteria to grow. You should take some oral antiinflamator drugs such as ibuprofen tablets 400 mg , 3 times a day after meals or diclofenac tablets 75 mg , 2 times a day after meal. Your surgeon, after visiting you, will decide for draining or not and if you need any additional therapy with antibiotics or not. Hope this is helpful. Let me know if you need more clarifications. Otherwise please close and rate the answer. Kind Regards, Dr. Juarda