What is a periosteal injury, and what should be done about it?
Nov 12, 2024
Source: Cainiu Health
Dr. Chen Jian
Introduction
In general, periosteal injury may be caused by excessive exercise, external impact, fracture, osteomyelitis, bone tumors, or other factors, and requires appropriate management depending on the specific situation. After periosteal damage, it is important to ensure adequate rest, avoid excessive stress or movement of the affected area, and prevent further injury. Follow-up examinations should also be conducted as scheduled according to medical advice to monitor the progress of recovery.
Under normal circumstances, periosteal injury may be caused by excessive exercise, external impact, fractures, osteomyelitis, bone tumors, or other reasons, and treatment should be tailored according to the specific cause.
1. Excessive exercise: Long-term participation in high-intensity activities such as running and jumping can lead to overuse and strain injuries of the periosteum. It is recommended to reduce physical activity and allow sufficient rest time for the affected area. After recovery, adjust the type and intensity of exercise to prevent recurrent overuse injuries.
2. External impact: When the body experiences a strong collision, direct force applied to the bones can damage the periosteum due to compression or contusion. Cold compresses should be applied within 24–48 hours after injury to reduce bleeding and swelling. After 48 hours, switch to heat therapy to promote blood circulation and help relieve swelling and pain.
3. Fractures: When a fracture occurs, the continuity of the bone is disrupted, inevitably causing varying degrees of tearing and damage to the periosteum. The fracture should be realigned and immobilized under medical supervision. Immobilization methods include casting or surgical internal fixation, which stabilize the fractured ends and create favorable conditions for periosteal repair and bone healing.
4. Osteomyelitis: Osteomyelitis is a bone infection caused by bacterial invasion, and the inflammation can spread to the periosteum. Under inflammatory stimulation, the periosteum may become congested, swollen, and thickened. Treatment with medications such as amoxicillin capsules or metronidazole tablets should be conducted under medical guidance.
5. Bone tumors: Growing bone tumors may affect the periosteum. For periosteal damage caused by bone tumors, a pathological examination is needed to determine the nature of the tumor. Benign tumors are typically treated with surgical removal under medical supervision, after which the periosteum usually heals on its own. Malignant tumors require comprehensive treatment strategies—including surgery, chemotherapy, and radiotherapy—under medical supervision, aiming to remove tumor tissue and alleviate symptoms as much as possible.
After periosteal injury, adequate rest must be ensured, and excessive stress or movement on the injured area should be avoided to prevent worsening of the damage. Additionally, regular follow-up visits should be conducted as directed by a physician to monitor recovery progress.
