Differential Diagnosis for Bruising and Swelling of Left Hip after a Fall
Single Most Likely Diagnosis
- Hematoma or Contusion: This is the most likely diagnosis given the history of a fall, which can cause direct trauma to the soft tissues around the hip, leading to bruising and swelling.
Other Likely Diagnoses
- Hip Fracture: A fall can also result in a fracture of the hip, especially in older adults or those with osteoporosis. The fracture could be of the femoral neck, intertrochanteric, or subtrochanteric region.
- Soft Tissue Injury: This includes injuries to muscles, tendons, or ligaments around the hip, which can occur from the fall and present with bruising and swelling.
- Dislocation or Sprain: Though less common, a severe fall could potentially dislocate the hip or cause a sprain to the surrounding ligaments.
Do Not Miss Diagnoses
- Pelvic Fracture: While less common than hip fractures, pelvic fractures can occur from significant trauma and are critical to identify due to potential complications such as bleeding or injury to pelvic organs.
- Vascular Injury: Injury to the femoral artery or vein could occur from a fracture or severe trauma, leading to significant bleeding or circulatory compromise.
- Nerve Injury: Damage to nerves in the hip area, such as the femoral nerve or sciatic nerve, could result from the fall and lead to numbness, weakness, or paralysis.
Rare Diagnoses
- Osteonecrosis: Though not immediately apparent after a fall, osteonecrosis of the femoral head could be a late complication of a hip fracture or dislocation, especially if there is a disruption of the blood supply to the bone.
- Infection: In rare cases, an open wound from the fall could become infected, leading to cellulitis, abscess, or osteomyelitis.
- Tumor: A pathological fracture through a pre-existing bone tumor could present with bruising and swelling after a minor fall, though this would be extremely rare and typically associated with other symptoms such as weight loss or night pain.