Aetiology
Contusion of the ulnar artery at the wrist or hand level is caused by a direct blow to the area, such as a fall onto an outstretched hand, crushing of the hand in a door, or a blow from a blunt object.
Diagnosis
Contusion of the ulnar artery at the wrist or hand level is diagnosed via physical examination, imaging studies, and/or laboratory tests. Physical examination may reveal swelling and tenderness in the affected area, as well as decreased pulse in the ulnar artery. Imaging studies such as X-ray and MRI can be used to identify the location and extent of the injury. Laboratory tests, such as Doppler ultrasound, may be used to check for any narrowing or blockage of the artery.
Differential diagnosis
Differential diagnosis of ulnar artery contusion may include other forms of trauma to the wrist or hand, such as fractures, sprains, or dislocations; vascular or nerve injuries; or a clotting disorder.
Treatment
Treatment of ulnar artery contusion typically involves rest, elevation, and ice packs to reduce swelling. Compression bandages may be used to reduce bleeding, and anti-inflammatory medications may be prescribed to reduce pain and inflammation. In serious cases, surgery may be necessary to repair the artery.
Prognosis
The prognosis for ulnar artery contusion is generally good, as long as the injury is treated promptly and properly. With proper treatment, the affected area should heal completely and the patient should be able to resume normal activities.