The article will discuss intraosseous bleeding. This pathology is one of the common complications of bone fractures or vascular damage to the musculoskeletal system. Complications can occur in patients of any age, both children and adults. Various methods and approaches are used to treat and rehabilitate patients with this complication. However, in addition to this, it is necessary to have a clear understanding of the causes of bleeding and how to prevent it.
Intraosseous bleeding is the uncontrolled flow of blood from damaged vessels located inside the bone. This pathology can be caused by a number of reasons, such as trauma to the musculoskeletal system, chronic osteomyelitis, inflammatory processes, pathological changes in the walls of blood vessels and much more. The risk of intraosseous bleeding increases significantly in the presence of a fracture of large tubular bones, which is accompanied by a high intensity of hemorrhage as a result of the formation of a hematoma that stretches the skin over the fracture site. Risk factors also include comorbidities, such as bleeding disorders, multiple fractures, and polycythemia. Intraosseous bleeding is rarely the only manifestation of the disease; it is usually accompanied by general weakness, pain in the fracture area, tissue swelling, and changes in skin color. If untreated, bleeding can continue for a long time and lead to complications, such as intoxication of the body with blood breakdown products, arterial thrombosis, infection, purulent inflammation. Diagnosis of bleeding of the intraosseous system includes radiography, computed tomography or ultrasound, as well as the use of the vascular hemostasis method. Treatment can be carried out using conservative and surgical methods. Conservative treatment includes