股四頭肌挫傷
原作者： Brian Corwell，鄭辛甜譯，肖 文章來源： 《中華急診醫學雜志》編輯部 發布日期：2015-03-03

Title: Quadriceps contusion
題目：股四頭肌挫傷
Author 作者: Brian Corwell
翻譯：鄭辛甜 校對：肖鋒

Mechanism: Direct blow to anterior thigh (Football/basketball) or from a ball traveling at a high rate of speed (field hockey/lacrosse).
機制：直接打幢擊到大腿前側（足球/籃球）或高速飛過來的球（曲棍球/長曲棍球）。
Exam: focal tenderness and edema. Pain may be severe and worse with active contraction and passive stretch. Hematoma may already be present. Amount of passive knee flexion at 24 hours can be a clue to the severity of the hematoma.
檢查：局部壓痛及腫漲。當主動收縮和被動伸展時，疼痛可能更嚴重。血腫可能已經存在。24小時的被動膝關節屈曲度可以作為判斷血腫嚴重程度的一個線索。Treatment: Crutches if pain with weight-bearing. Ice. Immobilization in 120 degrees of flexion immediately after the injury for the first 24 hours may be beneficial.-Bandage entire lower limb. pain medication. Soft tissue therapy is contraindicated for the first 48 hours and when instituted must be gentle and cause no pain.
治療：負重時如有疼痛，要用拐杖；受傷后24小時內冰敷和固定在120度屈曲位是有益的；整個下肢綁上繃帶；止痛藥；48小時內不要做軟組織治療（如要做，不要用力，不要有任何痛）。
Risk of re-bleeding is greatest in first 7 to 10 days.
7-10天內再出血危險性最高。
Reference 參考文獻：