Hematoma On Finger Joint

Paroxysmal hand hematoma also known as paroxysmal finger hematoma or Achenbach’s syndrome, refers to a condition in which a patient exhibits episodic pain and swelling in one or more fingers along with the subsequent appearance of a hematoma on the palmar side of the proximal phalanges 1).

Hematomas of the upper hand are large bruiselike areas commonly caused by blunt force trauma. The blood vessels under the skin will have ruptured; the skin will look red or purple due to blood clots forming.

Achenbach syndrome is a benign condition of unknown cause in which prodromal symptoms, such as pain, tingling, and itching, may occur from minutes to hours before the color change appears 2). The subdermal bleeding usually stops spontaneously or after local pressure is applied.

The onset is sudden or is a result of a minor injury. The condition is also characterized by symptoms such as intense burning pain, localized swelling and inflammation, as well as localized bruising or hematoma. The cause of the condition is unknown and is considered harmless medically.

Patients report a spontaneous sudden onset of burning or itching sensations in the finger, followed within minutes by the appearance of bruising, usually on the palmar aspect of the fingers 5). The finger then becomes swollen, pale and cold.

However, the recurrent visible hemorrhages and the temporal association of the capillaroscopic abnormalities with recent symptoms in the right middle finger in this patient indicate that capillary microhemorrhages can occur in Achenbach’s syndrome. 1 Achenbach W. Paroxysmal hematoma of the hand.

There are no known risk factors such as trauma, drug use, bleeding disorder, or rheumatologic disease associated with the etiology of the syndrome. Paroxysmal hand hematoma or Achenbach’s syndrome was named after German doctor Achenbach as it was first diagnosed by him 17).

Surgical Drainage. For some patients, surgical drainage is the best treatment for hematoma. If the patient has subdural hematoma due to which there is headache and weakness, urgent drainage is done by a neurosurgeon.

Apply ice to the area for 15 minutes, several times per day. Mild hematomas and contusions typically heal within about five days. For large hematomas, a doctor may drain it surgically to help it heal faster.

Treatment of a hematoma depends upon which organ or body tissue is affected. Superficial hematomas of the skin and soft tissue, such as muscle, may be treated with rest, ice, compression, and elevation (RICE). Heat may also be considered.

They say that Achenbach syndrome (Paroxysmal finger hematoma) is a rare, benign and self-limiting condition, which causes bruising, swelling and burning pain in the hand or fingers. Achenbach’s Syndrome appearing spontaneously or after a hidden minor trauma and heals completely within days.

Paroxysmal hand hematoma Achenbach syndrome; it appears often on the internal surface of the finger and rather under the middle finger or forefinger at the joints of the first or second phalanx. Specialty.

Paroxysmal hand hematoma or Achenbach’s syndrome was named after German doctor Achenbach as it was first diagnosed by him 17). Paroxysmal hand hematoma or Achenbach’s syndrome is a rare clinical entity consisting of spontaneous sudden bruising on the palmar side of fingers or hand associated with burning pain and swelling of the digits 18).

A: Hematoma after surgery Luckily a hematoma two weeks after surgery is very rare. One of the complications we warn our patients about is a hematoma. Fortunately breast hematomas are very uncommon after breast augmentation. The symptoms that would suggest a hematoma would be persistent bruising, localized or asymmetric swelling, and tenderness.

Hematoma can form in any organ of the body; it can be as tiny as a pinhead, or as large as a tennis ball. The symptoms of hematoma may depend on its size, its location and whether it compresses the tissues, nerves, or other nearby organs. Pain, swelling, redness are common symptoms of a hematoma.

The prognosis for subdural hematomas is usually not clear at the initial time of treatment. The outlook can depend on how quickly treatment was given, where the head injury occurred, and how much the brain was damaged. Acute subdural hematomas – where a severe head injury causes immediate symptoms – have high injury and death rates.