As noted, Shane McMahon was legitimately hurt during the Team RAW vs. Team SmackDown match at Survivor Series and was eliminated from the match after taking the spear from WWE United States Champion Roman Reigns.
While Shane was in pain backstage, Dave Meltzer noted on F4Wonline.com that he was telling everyone later in the night that he was feeling fine.
Despite how it appeared, Shane was supposed to be pinned after Reigns blocked the Coast 2 Coast with the spear, according to Meltzer. Both men were said to be shaken up after the spot as they may have bumped heads. The referee noticed Shane was injured and held up the match to check on him.
As noted, Randy Orton then broke character and went to comfort Shane's family at ringside, seen below:
Good Guy Randy Orton— WWE Trolls (@WWE_Trolls) November 21, 2016
He made sure Shane McMahon's son was alright after Shane got hurt pic.twitter.com/BQ9ONuPMUX