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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Skin On Shin Is Abraded And Numb. Had Stumbled On Curbing. Have Painful Bumps. Fracture?

About 2 weeks ago I stumbled on curbing (3x3 ft with two pipes about 2 in in diameter that had been cut down sticking up about 3 to 4 inches) I hit my left shin...the skin is abraded (6 in directly over the shin bone) on the outer side the skin is numb....on the inside it is very painful. There are 2 large bumps spaced about 4 inches apart. It is still very painful and I know it takes time to heal but it has never bruised and it hurts pretty bad to walk on. I did ice it when I got home and the swelling has gone down a little but not much. I was wondering if maybe I might have a fracture or just really dented the tibia really bad.
Wed, 7 Aug 2013
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Orthopaedic Surgeon, Joint Replacement 's  Response
Hi, thanks for writing to HCM.

From the description, I suspect that you have developed a soft tissue hematoma.

If you are able to walk bearing full weight on the injured limb, then a fracture is unlikely.

The hematoma resolves spontaneously with the following measures -
* Rest to the injured part and don’t involve in activities which puts additional strain on the injured tissues.
* Ice packing should be applied for about 20 minutes once in every 2 hours.
* Use elastic compression bandage around the swollen area
* Elevation of the limb
* Analgesic & anti inflammatory medications

Hope this information is helpful. Good day
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Skin On Shin Is Abraded And Numb. Had Stumbled On Curbing. Have Painful Bumps. Fracture?

Hi, thanks for writing to HCM. From the description, I suspect that you have developed a soft tissue hematoma. If you are able to walk bearing full weight on the injured limb, then a fracture is unlikely. The hematoma resolves spontaneously with the following measures - * Rest to the injured part and don’t involve in activities which puts additional strain on the injured tissues. * Ice packing should be applied for about 20 minutes once in every 2 hours. * Use elastic compression bandage around the swollen area * Elevation of the limb * Analgesic & anti inflammatory medications Hope this information is helpful. Good day