Periosteal Hematoma

Periosteal hematoma is a bone bruise. This condition occurs when a bruise causes bleeding close to the lining that covers your bones, the periosteum. Usually this results in a localized, tender, raised area close to the bone. Periosteal hematomas typically occur from trauma but can occur from surgery or other causes. These injuries frequently occur over the shin. These injuries often take weeks or even longer to completely resolve. However, they do not weaken the bone or cause permanent damage. If you are taking medication that thins your blood, you may be at greater risk for such injuries.

Rest and elevate the area of injury as long as it is very tender or swollen. Apply ice packs for 20 to 30 minutes every 2 hours while awake for the next 2 to 3 days. An elastic wrap may be used to reduce swelling and to protect the injured area. Pain or anti-inflammatory medicine may be used to reduce symptoms. Call your caregiver if you are not improved after 3 to 4 days.


  • You develop severe pain.

  • You have increased redness, heat, or tenderness over your injury.

  • You have increased swelling that may result in a tense, hard area.

  • You have pain with stretching.

  • You do not have a pulse to an extremity with the injury.

  • You have pale, cool skin below the the area of the injury in an extremity.

  • You have difficulty bearing weight, if the injury is in either leg.