Generally, a closed wound is characterized by intact skin while the underlying tissue is not directly exposed.
When it comes to a closed wound, it is typically triggered by direct blunt trauma after falls or vehicular accidents. Even if the skin is unbroken, the injury can reach down to the core muscles, bones and internal organs.
What are the types of closed wounds?
These are common during sports where direct blunt injury damages the small-sized blood vessels and capillaries, muscles and deep tissue as well as the internal organs and bone. It is characterized as a sore bruise with reddened to bluish mark that spreads over the affected skin.
These are caused by external high pressure force that compresses part of the body between 2 surfaces. The degree of the injury and pain can range from a minor bruise to total destruction of the area.
These include injury that impairs the small blood vessels and capillaries which results to the buildup of blood in a limited space. It is characterized as a sore, sponge-like, rubbery lesion that can be small or large, deep within the body or beneath the skin.
When dealing with closed wounds, the objective of treatment is to control the pain and control the bleeding and inflammation to a minimum degree. This is carried out by utilizing ice packs, compression, elevation and immobilizing the affected area.
A closed wound is typically left open for 2-3 days while covered with a sterile bandage to allow the swelling to settle and prevent further pressure from building up.
An X-ray is taken if a bone fracture is suspected. For fractures, casting is usually needed. When it comes to severe trauma, other imaging tests might be used such as CT scan, ultrasound and MRI.
A topical antibiotic ointment can be applied on the wounds in case of associated skin abrasions and lacerations. Crutches and other walking aids can be used to immobilize the affected limb. These are useful for injuries to the weight-bearing areas, to prevent further damage, minimize pain and promote faster healing.