From the Research
The most effective treatment plan for a quadriceps hematoma involves immediate immobilization in 120 degrees of knee flexion, followed by a progressive approach with the RICE protocol, pain management, and gradual return to activity, with return to sport typically taking 2-6 weeks depending on severity, as supported by the study 1. The treatment plan should prioritize reducing pain and inflammation, promoting healing, and preventing complications. Key components include:
- Immediate immobilization in 120 degrees of knee flexion for 24 hours, as shown to shorten the time to return to unrestricted full athletic activities 1
- The RICE protocol (Rest, Ice, Compression, Elevation) for the first 24-48 hours to reduce pain and inflammation
- Over-the-counter pain medications like acetaminophen or ibuprofen to manage pain and reduce inflammation
- Gentle range-of-motion exercises and progressive strengthening exercises as pain allows, with physical therapy beneficial for more severe cases
- Return to sport typically takes 2-6 weeks depending on severity, with mild hematomas allowing return in 2-3 weeks and severe ones requiring 4-6 weeks or longer, as patients should be able to perform sport-specific movements without pain, have full range of motion, and near-normal strength before returning 2. It is crucial to note that early treatment is vital to prevent complications like myositis ossificans, where calcium deposits form in the muscle, potentially causing chronic pain and limited function, as highlighted in the study 3.