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Open
Through the skin
Closed
Skin is intact
Complete
Bone is broken all the way through, 2 parts
Transverse
Broken straight and horizontal
Spiral
Twisting motion breaks the bone. Common with child abuse
Longitudinal
Broken vertically
Oblique
The break is slanted at an angle
Comminuted
Break is shattered. Bone pieces in multiple locations
Impacted
Broken from pressure, a crush injury, like jumping off and landing wrong
Greenstick
“Peel” it off bone break. Normal for kids because their bones are not as strong
Stress
Too much strain and overuse on a bone. Tiny crack in bone
Avulsion
On the patella, bone shifts down with tendon