An example of this is falling on the outstretched hand and sustaining a fracture of the clavicle. Avulsion force-A portion of the bone is pulled off by the attached muscle, tendon or ligament. If a fracture is present, the main features are unnatural mobility of the body part, deformity, local tenderness over the bone and crackling sounds during movement. Remove or cut away clothing that covers the injury. This could reduce contamination of an open fracture.
Open fractures are more dangerous because of the severe bleeding and chance of infection.
The wound needs to be covered with a sterile dressing and control the bleeding. If there is an open fracture, dislocation or subluxation, do not attempt to push protruding ends of bone back into place. If the injury is not too serious, splint the limb to immobilize it. However if there is a gross deformity or you are untrained, merely prevent the limb from moving until medical attention arrives. Only apply a splint if you can do it without causing further pain or discomfort.