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Suggest Treatment For Bruise Due To Hematoma Formation

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Posted on Sat, 14 Jun 2014
Question: Hi Im a 69yo female. I fell wed walking down 5 cement steps, on to cement. I was carring a walker. I landed on my left shin and I think I might have tried breaking the fall with my left forearm and hand. 911 was called but it looked like I only had brusing and some lacerations . I called my pcp and they said do not come here , go to er. ,which I did . As soon as I step out of car, I had severe pain in my leg walking on it. when they got me in a wheel chair, I looked at my leg. It looked like a ball swollen on top of my leg. It looked like it was going to burst. It was a hematoma , which they were trying to get the swelling down. after 6 hrs they decided not to drain it because he was aftaid to introduce infection. It is making me nervious. Can yu tell me anything about whats going on with me
doctor
Answered by Dr. Vaibhav Gandhi (17 minutes later)
Brief Answer:
Can lead to bruise due to hematoma formation

Detailed Answer:
Hi,

I have studied your case.

Traumatic injury can lead to bruise due to hematoma formation.
If there is fracture in your leg bone then it is difficult to walk on it
You will need X ray of knee and leg.
I consider that x ray was done and came out normal
Clinical examination is important to rule out knee or ankle ligament injury

For these symptoms analgesic and medication can be started.

Till time take medication like analgesic and apply crepe bandage over leg or use supportive splint. Do ice fomentation and rest to leg.

Unless the large hematoma is compressing a nerve or you can do cold fomentation.
Very rarely we need to drain hematoma,usually it resolves gradually on own improving healing process.

If required you may need to do blood investigation for prognosis and recovery.
Colour Doppler study will help to know any vascular injury.
Take precaution to avoid infection around hematoma.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

Take care.

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Vaibhav Gandhi

Orthopaedic Surgeon

Practicing since :1998

Answered : 5164 Questions

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Suggest Treatment For Bruise Due To Hematoma Formation

Brief Answer: Can lead to bruise due to hematoma formation Detailed Answer: Hi, I have studied your case. Traumatic injury can lead to bruise due to hematoma formation. If there is fracture in your leg bone then it is difficult to walk on it You will need X ray of knee and leg. I consider that x ray was done and came out normal Clinical examination is important to rule out knee or ankle ligament injury For these symptoms analgesic and medication can be started. Till time take medication like analgesic and apply crepe bandage over leg or use supportive splint. Do ice fomentation and rest to leg. Unless the large hematoma is compressing a nerve or you can do cold fomentation. Very rarely we need to drain hematoma,usually it resolves gradually on own improving healing process. If required you may need to do blood investigation for prognosis and recovery. Colour Doppler study will help to know any vascular injury. Take precaution to avoid infection around hematoma. Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care.