Broken Bone & Fracture Injury Claims in Indiana
Fractures account for more than 6.8 million emergency-room visits annually in the U.S., and Indiana sees thousands every year. Understanding how broken-bone claims work—from medical documentation to comparative-fault defenses—can mean the difference between a fair settlement and walking away with nothing.
Broken Bone & Fracture Injury Claims in Indiana
A single misstep on a wet grocery-store floor can snap a femur. A rear-end collision at forty miles per hour sends forces through your body that fracture vertebrae. According to the American Academy of Orthopaedic Surgeons, fractures represent roughly 20% of all traumatic injuries treated in U.S. hospitals, and Indiana emergency departments manage thousands of these cases every year. Yet many injured Hoosiers assume a broken bone is straightforward—set the cast, collect the check. The reality is far messier: insurance adjusters scrutinize causation, employers question whether the fall was truly at work, and defense counsel dig into pre-existing conditions to chip away at your damages.
Navigating a fracture claim in Indiana means proving negligence, documenting both immediate and long-term medical costs, and countering comparative-fault arguments that can slash your recovery by half or more. This guide unpacks every stage—from the emergency room to the settlement table—so you know what to expect and how to protect your rights.
How Fractures Happen: The Most Common Accident Scenarios
Broken bones don't discriminate by accident type. Data from the National Safety Council shows falls remain the leading cause of non-fatal injuries in the United States, accounting for more than 8.9 million ER visits annually. In Indiana, the mechanisms cluster into a few high-frequency categories.
Motor-Vehicle Collisions
Car Accidents generate tibial plateau fractures, clavicle breaks, and rib fractures when occupants brace against a dashboard or steering wheel. The Indiana State Police crash-data portal reports nearly 200,000 collisions statewide in recent years, with side-impact and T-bone crashes producing the highest fracture rates because door panels offer less protection than frontal crumple zones.
Truck Accidents magnify those forces. A fully loaded semi weighs 80,000 pounds; when it strikes a passenger sedan, the energy differential can shatter pelvic bones, compress lumbar vertebrae, or snap femurs. Federal Motor Carrier Safety Administration statistics show large trucks were involved in roughly 5,000 fatal crashes nationally in a recent year, and thousands more result in serious fractures.
Motorcycle Accidents are especially brutal. Without a steel cage, riders absorb impact directly. The Insurance Institute for Highway Safety notes that per mile traveled, motorcyclists face twenty-nine times the risk of fatal injury compared to car occupants. Leg fractures—tibias, fibulas, femurs—dominate, as do forearm and wrist breaks when riders instinctively extend their arms during a fall.
Slip-and-Fall Incidents
Slip and Fall cases frequently produce hip fractures in older adults and wrist fractures in younger victims who try to catch themselves. The Centers for Disease Control and Prevention estimates one in four Americans aged sixty-five and older falls each year, and falls are the leading cause of both fatal and non-fatal injuries in that demographic. In Indiana, property owners owe a duty of reasonable care to invitees—shoppers, hotel guests, restaurant patrons—which means icy walkways, unmarked spills, and broken handrails can all give rise to premises-liability claims.
Workplace Accidents
Construction sites, warehouses, and manufacturing plants see falls from ladders, crush injuries from forklifts, and caught-between accidents that fracture hands, ribs, or skulls. The Bureau of Labor Statistics reports that more than 200,000 workplace fractures occur annually across the U.S. Indiana's workers' compensation system generally provides an exclusive remedy—meaning you cannot sue your employer in tort—but third-party claims remain available when a subcontractor, equipment manufacturer, or property owner shares fault.
Pedestrian and Bicycle Collisions
When a two-ton vehicle strikes a pedestrian or cyclist, the human body loses. Femur fractures, pelvic fractures, and skull fractures are common. The National Highway Traffic Safety Administration counted more than 7,500 pedestrian deaths nationally in a recent year, with thousands more surviving but suffering severe fractures that require months of rehabilitation.
Types of Fractures and Their Medical Implications
Not all breaks are equal. Orthopedic surgeons classify fractures by pattern, location, and whether bone has pierced skin. Each classification carries different healing timelines, complication risks, and settlement values.
| Fracture Type | Description | Typical Healing Time | Common Complications |
|---|---|---|---|
| Simple (Closed) | Bone breaks but does not puncture skin | 6–8 weeks | Malunion, stiffness |
| Compound (Open) | Bone fragment pierces skin | 8–12 weeks or longer | Infection, osteomyelitis, nonunion |
| Comminuted | Bone shatters into three or more pieces | 12+ weeks | Surgical hardware, chronic pain |
| Greenstick | Partial crack (common in children) | 4–6 weeks | Rare, usually heals well |
| Spiral | Twisting force creates helical break | 8–12 weeks | Nerve damage, hardware failure |
| Compression | Vertebrae collapse (often from falls or osteoporosis) | 8–12 weeks | Kyphosis, chronic back pain |
| Stress | Hairline crack from repetitive force | 6–8 weeks | Recurrence if activity resumed too soon |
Long-Term Sequelae
Even after bone heals, victims may face:
- Post-traumatic arthritis: Joint surfaces that were fractured wear unevenly, causing pain and stiffness years later.
- Malunion: The bone heals in a poor position, resulting in deformity or functional loss.
- Nonunion: The fracture site fails to knit together, requiring bone grafting or electrical stimulation.
- Compartment syndrome: Swelling within a muscle compartment restricts blood flow, potentially leading to muscle death and permanent disability if not surgically decompressed within hours.
- Hardware complications: Plates, screws, and rods can loosen, migrate, or cause irritation, necessitating removal surgeries.
These long-term issues elevate the value of a claim because they represent future medical expenses, lost earning capacity, and diminished quality of life.
Proving Negligence: The Foundation of Every Fracture Claim
Indiana personal-injury law requires four elements: duty, breach, causation, and damages. A broken bone satisfies the damages element—your X-rays and medical records provide tangible proof. The harder question is whether someone else's negligence caused it.
Duty of Care
Every driver on Indiana roads owes other motorists, pedestrians, and cyclists a duty to operate safely. Property owners owe invitees a duty to maintain reasonably safe premises. Employers and contractors owe workers a duty to follow OSHA regulations and industry standards.
Breach
Breach occurs when the defendant falls short of that standard. Examples include:
- A trucker who violates federal hours-of-service rules and causes a crash while drowsy.
- A store manager who ignores a spill for thirty minutes, allowing you to slip.
- A landlord who fails to repair a rotted staircase despite multiple tenant complaints.
- A distracted driver who rear-ends you at a stoplight.
Causation
You must show the breach directly caused your fracture. Defendants frequently argue alternative explanations: "The plaintiff has osteoporosis; her bones would have broken anyway." "He said his ankle hurt before the crash—this is a pre-existing condition." Medical records, expert testimony from orthopedic surgeons, and biomechanical analysis often become critical.
Comparative Fault and the Fifty-One-Percent Bar
Indiana law follows a modified comparative-fault system under IC 34-51-2-6. If a jury finds you fifty-one percent or more at fault, you recover nothing. If your share is fifty percent or less, your award is reduced by your percentage. Suppose a jury assigns you $200,000 in damages but concludes you were twenty percent responsible for looking at your phone when you tripped on an unmarked curb. You receive $160,000. Defense attorneys exploit this rule aggressively, combing through social-media posts, prior medical records, and witness statements to inflate your share of blame.
Medical Documentation: Building the Paper Trail
Insurance adjusters and defense lawyers scrutinize medical records line by line. Gaps in treatment, inconsistent complaints, or delayed diagnoses can torpedo an otherwise solid claim.
Emergency-Department Records
The ER visit establishes mechanism of injury and initial diagnosis. Make sure the triage nurse and physician document:
- How the accident occurred ("Patient states she slipped on wet tile in grocery store aisle three").
- Pain level and location.
- X-ray and CT findings, including fracture classification.
- Any neurological or vascular compromise.
Orthopedic Follow-Up
Your orthopedist should provide:
- Operative reports if surgery was performed (open reduction internal fixation, intramedullary nailing, external fixation).
- Post-operative imaging confirming hardware placement.
- Progress notes documenting range of motion, weight-bearing status, and any complications.
- Functional assessments and return-to-work timelines.
Physical Therapy and Rehabilitation
Physical therapists quantify your functional deficits—reduced grip strength, limited ankle dorsiflexion, inability to climb stairs without pain. These metrics translate directly into damage calculations for diminished earning capacity and loss of enjoyment of life.
Diagnostic Imaging
X-rays, CT scans, and MRIs create a visual record. Retain copies of all images and radiology reports. If you later develop post-traumatic arthritis or hardware failure, comparison films prove causation.
Damages You Can Recover in a Fracture Case
Indiana law divides damages into economic and non-economic categories. There is no statutory cap on compensatory damages in ordinary negligence cases, though medical-malpractice claims face caps under IC 34-18-14.
Economic Damages
- Past and Future Medical Expenses: Emergency transport, surgery, hospitalization, outpatient visits, physical therapy, prescription medications, assistive devices (crutches, wheelchairs, custom orthotics), and anticipated future procedures (hardware removal, joint replacement).
- Lost Wages: Hourly or salaried income you missed while recovering. For self-employed individuals, tax returns and profit-and-loss statements document loss.
- Diminished Earning Capacity: If permanent restrictions prevent you from returning to your pre-injury occupation, vocational experts calculate the present value of lost future earnings.
- Property Damage: Vehicle repairs or replacement if the fracture occurred in a Car Accident.
Non-Economic Damages
- Pain and Suffering: The physical anguish of the fracture itself, surgeries, and rehabilitation.
- Emotional Distress: Anxiety, depression, and PTSD stemming from the trauma.
- Loss of Enjoyment of Life: Inability to play sports, garden, dance, or engage in hobbies you loved.
- Disfigurement and Scarring: Surgical scars, hardware bumps, or limb deformity.
- Loss of Consortium: Your spouse's claim for loss of companionship, affection, and marital relations.
Punitive Damages
Under IC 34-51-3-2, punitive damages are available only when the defendant acted with malice, fraud, gross negligence, or oppressiveness. A drunk driver who causes a Truck Accident or a property owner who knowingly ignores a dangerous condition might trigger punitive exposure. Punitive awards are capped at three times compensatory damages or $50,000, whichever is greater.
The Timeline: From Injury to Settlement or Trial
Fracture claims rarely resolve overnight. Understanding the phases helps set realistic expectations.
Immediate Aftermath (Days 1–30)
- Seek emergency care and follow all discharge instructions.
- Photograph the accident scene, your injuries, and any hazards (ice, debris, vehicle damage).
- Obtain a copy of the police report if law enforcement responded.
- Notify your auto insurer if the fracture arose from a collision; notify the property owner's insurer if it was a Slip and Fall.
- Avoid giving recorded statements to the at-fault party's adjuster without legal guidance.
Medical Treatment and Maximum Medical Improvement (Months 1–12)
Focus on healing. Attend every appointment, complete physical therapy, and document symptoms in a daily journal. Do not accept a settlement offer until your physician declares you at maximum medical improvement (MMI)—the point where further recovery is unlikely. Settling prematurely forfeits compensation for complications that surface later.
Demand and Negotiation (Months 6–18)
Once you reach MMI, your attorney assembles a demand package: medical records, billing statements, wage-loss documentation, expert reports, and a narrative explaining liability and damages. The insurer responds with an offer, often a fraction of the demand. Multiple rounds of negotiation follow.
Litigation (Months 12–36)
If negotiations stall, filing a lawsuit becomes necessary. Indiana's statute of limitations for personal-injury claims is two years from the date of injury under IC 34-11-2-4. Wrongful Death cases trigger a separate two-year deadline from the date of death under IC 34-23-1-1. Missing these deadlines extinguishes your claim forever.
Discovery—depositions, interrogatories, document requests—can last a year. Many cases settle during or shortly after mediation.
Trial (If Necessary)
If settlement talks fail, a jury hears evidence and renders a verdict. Trials in fracture cases often hinge on expert testimony: orthopedic surgeons explain the injury, biomechanical engineers reconstruct the accident, and economists quantify lost earnings. Verdicts are unpredictable, but thorough preparation improves outcomes.
Special Considerations for Specific Fracture Locations
Hip Fractures
Typically seen in elderly victims of falls, hip fractures often require total hip replacement. Mortality risk climbs in the months following surgery, particularly if the victim was already frail. Wrongful Death claims may arise if post-operative complications—infection, pulmonary embolism, cardiac arrest—prove fatal.
Skull and Facial Fractures
These signal high-energy impacts. Traumatic brain injury often accompanies skull fractures, complicating both medical treatment and legal valuation. Neuropsychological testing, cognitive therapy, and lifetime care plans enter the damages calculation.
Spinal Fractures
Compression fractures of the thoracic or lumbar spine can cause chronic pain, kyphosis (hunched posture), and nerve impingement. Burst fractures or fracture-dislocations may sever the spinal cord, resulting in paraplegia or quadriplegia. These catastrophic injuries generate multi-million-dollar claims.
Pelvis Fractures
High-force trauma—often from Motorcycle Accidents or pedestrian collisions—produces pelvic fractures. Internal bleeding, bladder or urethral injury, and sexual dysfunction are possible. Surgical fixation with plates and screws is common, and recovery takes months.
Hand and Wrist Fractures
For manual laborers, musicians, and surgeons, a fractured scaphoid or metacarpal can end a career. Stiffness, arthritis, and chronic pain may persist despite surgery. Vocational experts assess whether retraining is feasible or whether the victim faces permanent underemployment.
Dealing with Insurance Companies: Tactics and Traps
Adjusters are not your friends. Their goal is to minimize payout, and they employ predictable strategies.
Lowball Initial Offers
The first offer—sometimes extended within days of the accident—rarely covers even your medical bills. Adjusters hope you are desperate for cash and will accept pennies on the dollar.
Recorded Statements
Adjusters ask for your version of events, ostensibly to "speed up the claim." In reality, they parse your words for inconsistencies and admissions of fault. Politely decline until you have legal representation.
Social-Media Surveillance
Insurers scour Facebook, Instagram, and TikTok for posts that contradict your injury claims. A photo of you standing at a wedding may be twisted into "proof" you can walk without pain, even if you were medicated and suffered for days afterward. Set profiles to private and avoid posting about the case.
Independent Medical Examinations
Defendants often demand you submit to an exam by their hired physician. These doctors rarely find serious injuries. Attend with your attorney's guidance, answer questions honestly but concisely, and request a copy of the report.
Comparative-Fault Arguments
Expect the insurer to allege you were texting, jaywalking, or otherwise careless. Gather evidence—witness statements, surveillance video, cell-phone records showing you were not on a call—to rebut these claims.
Indiana-Specific Procedural Rules and Deadlines
Several statutory provisions shape fracture litigation in the Hoosier State.
Statute of Limitations
IC 34-11-2-4 imposes a two-year deadline on personal-injury and auto-accident claims. The clock starts on the date of injury. If the defendant is a governmental entity—city, county, state agency—IC 34-13-3-8 requires you to file a tort-claim notice within 180 days (270 days for state entities) before you can sue. Missing these notices bars recovery entirely.
Comparative Fault
IC 34-51-2-6 codifies the fifty-one-percent bar. Juries receive detailed instructions on apportioning fault among all parties, including non-parties who settled before trial.
Damages Caps
Ordinary negligence claims have no cap. Medical-malpractice claims face a tiered cap system, but fracture cases arising from car crashes, falls, or workplace third-party liability do not implicate those limits.
Uninsured and Underinsured Motorist Coverage
IC 27-7-5-2 requires auto insurers to offer UM/UIM coverage equal to your liability limits unless you reject it in writing. If the at-fault driver carries only $25,000 in liability and your medical bills exceed $100,000, your own UM/UIM policy can make up the shortfall—but insurers fight these claims hard, arguing the other driver was not truly "underinsured" or that your injuries pre-existed the crash.
When to Hire an Attorney
Some fracture claims—a simple wrist break with full recovery and minimal lost wages—may settle without legal help. But most cases benefit from representation, especially when:
- Liability is disputed.
- You suffered a compound fracture, surgical complications, or permanent impairment.
- The at-fault party is uninsured or underinsured.
- Multiple parties share fault (a trucking company, a municipality with a defective road, a bar that over-served a drunk driver).
- Your employer or workers' compensation carrier asserts a lien on your settlement.
- The insurer denies the claim or offers an unreasonably low settlement.
Contingency-fee agreements—typically thirty-three to forty percent of the recovery—align the attorney's incentives with yours. You pay nothing upfront, and the lawyer advances litigation costs (expert fees, court reporters, filing fees). If you lose, you owe nothing beyond agreed-upon costs in some contracts.
Key Takeaways
- Fractures are serious: Even "simple" breaks can lead to chronic pain, arthritis, and lost earning capacity. Document every aspect of your injury and treatment.
- Negligence must be proven: Indiana law requires you to show duty, breach, causation, and damages. Comparative fault can reduce or eliminate your recovery if you share responsibility.
- Medical records are currency: Gaps in treatment, inconsistent complaints, or failure to follow doctor's orders give insurers ammunition to lowball or deny your claim.
- Statutes of limitations are strict: Two years for most personal-injury claims under IC 34-11-2-4; tort-claim-notice deadlines are even shorter for governmental defendants.
- Insurance companies protect their bottom line: Expect lowball offers, recorded-statement requests, social-media surveillance, and aggressive comparative-fault arguments.
- Long-term complications matter: Post-traumatic arthritis, hardware failure, and nonunion can surface months or years after the accident. Settle only after reaching maximum medical improvement.
- Legal representation levels the playing field: Experienced attorneys know how to counter insurer tactics, engage expert witnesses, and value both current and future damages accurately.
Get Matched with an Indiana Injury Attorney
Broken-bone claims demand meticulous preparation, aggressive negotiation, and sometimes courtroom skill. IndianaAccidentAid.com connects injured Hoosiers with experienced personal-injury attorneys across Indianapolis, Fort Wayne, Evansville, South Bend, Carmel, Fishers, Bloomington, and Lafayette. Our network includes lawyers who have handled every type of fracture case—from tibial plateau breaks in Truck Accidents to spinal compression fractures from Slip and Fall incidents.
Submit your case details through our secure online form. Within hours, you will receive consultation offers from attorneys who understand Indiana's comparative-fault rules, statute-of-limitations deadlines, and insurance tactics. Most work on contingency, so you pay nothing unless you win. Whether you fractured your femur in a Motorcycle Accident or suffered a comminuted wrist break at work, the right attorney can mean tens or hundreds of thousands of dollars in additional recovery. Do not let an insurer's pressure tactics or procedural missteps cost you the compensation you deserve.
Frequently asked questions
How long do I have to file a broken bone injury claim in Indiana?
Indiana Code 34-11-2-4 imposes a two-year statute of limitations on personal-injury claims, including those involving fractures from car crashes, slip-and-fall incidents, or other accidents. The clock typically starts on the date of injury. If your fracture resulted from a governmental entity's negligence—such as a poorly maintained sidewalk owned by a city—you must file a tort-claim notice within 180 days for political subdivisions or 270 days for the State of Indiana under IC 34-13-3-8. Missing these deadlines permanently bars your claim, so consult an attorney promptly to preserve your rights and gather evidence while it is still fresh.
What is my broken bone case worth in Indiana?
Settlement values depend on fracture type, severity, treatment complexity, and long-term prognosis. Simple closed fractures that heal without surgery may settle for $15,000 to $50,000 if you miss minimal work and suffer no permanent impairment. Compound fractures requiring multiple surgeries, hardware implantation, and extended physical therapy can reach six figures, especially when chronic pain, post-traumatic arthritis, or permanent disability result. Catastrophic fractures—spinal fractures causing paralysis, or pelvic fractures with internal injuries—can justify seven-figure demands. Economic damages (medical bills, lost wages) are calculated precisely; non-economic damages (pain, suffering, loss of enjoyment) require persuasive evidence and skilled negotiation. An experienced Indiana injury attorney will engage medical and economic experts to build a comprehensive damages picture.
Can I sue if I partially caused my own fracture in Indiana?
Indiana follows a modified comparative-fault rule under IC 34-51-2-6. You can recover damages as long as you are fifty percent or less at fault. If a jury assigns you fifty-one percent or more responsibility, you recover nothing. Your award is reduced by your share of fault—so if damages total $100,000 and you are deemed thirty percent responsible, you receive $70,000. Defendants exploit this rule by scrutinizing your actions: Were you texting while crossing the street? Did you ignore a wet-floor sign? Gathering witness statements, surveillance footage, and expert testimony to minimize your fault percentage is critical to maximizing recovery.
What medical records do I need for a fracture claim in Indiana?
Start with emergency-department records documenting mechanism of injury, initial diagnosis, and imaging (X-rays, CT scans). Obtain operative reports if you underwent surgery, including details of hardware placement and anesthesia records. Collect all follow-up orthopedic visit notes, physical-therapy progress reports, and radiology reports showing healing or complications. Prescription records and billing statements quantify out-of-pocket costs. If you develop long-term issues—post-traumatic arthritis, nonunion, hardware failure—subsequent imaging and specialist consultations prove ongoing damages. Keep a personal injury journal noting pain levels, functional limitations, and emotional effects. Gaps in treatment give insurers leverage to argue your injuries were minor, so attend every appointment and follow all medical advice.
Do I need surgery for my fracture to have a strong claim?
Not necessarily. While surgical intervention—open reduction internal fixation, intramedullary nailing—often signals a severe fracture and generates higher settlement values, non-surgical fractures that cause chronic pain, permanent stiffness, or functional loss also merit substantial compensation. A non-displaced fracture treated with casting may still prevent you from returning to manual labor, diminish your quality of life, or require ongoing pain management. What matters is thorough documentation: physician assessments of permanent impairment, physical-therapy records showing reduced range of motion, and vocational expert opinions on lost earning capacity. Even conservative treatment can support a strong claim if medical evidence demonstrates lasting harm.
How does workers' compensation affect my broken bone claim in Indiana?
If you fractured a bone on the job, Indiana's workers' compensation system generally provides your exclusive remedy against your employer, barring you from filing a tort lawsuit. However, you may pursue third-party claims if someone other than your employer contributed to the accident—a subcontractor, equipment manufacturer, or property owner. Workers' comp pays medical expenses and partial wage replacement but does not cover pain and suffering. If you recover damages from a third party, your employer or its insurer may assert a subrogation lien to recoup benefits paid. An attorney can negotiate lien reductions and ensure you maximize your net recovery from all sources.
What if the at-fault driver has no insurance in Indiana?
Indiana Code 27-7-5-2 requires auto insurers to offer uninsured-motorist coverage equal to your liability limits unless you reject it in writing. If an uninsured driver fractures your leg in a collision, your own UM policy steps in to cover medical bills, lost wages, and non-economic damages up to your policy limit. Underinsured-motorist coverage applies when the at-fault driver's liability limits are insufficient to cover your damages. Insurers often dispute UM/UIM claims, arguing the other driver carried some coverage or that your injuries pre-existed the crash. You may need to arbitrate or litigate against your own carrier to secure full compensation. Legal representation is essential to navigate these disputes and protect your interests.
Can I settle my fracture case before reaching maximum medical improvement?
You can, but it is usually unwise. Maximum medical improvement (MMI) is the point where further recovery is unlikely and your physician can assess permanent impairment. Settling prematurely forfeits compensation for complications that surface later—hardware failure requiring removal surgery, post-traumatic arthritis necessitating joint replacement, or chronic pain demanding ongoing treatment. Once you sign a release, you cannot reopen the claim even if your condition deteriorates. Insurers pressure injured victims to settle quickly, hoping to close files cheaply. Resist that pressure. Wait until your doctor declares MMI, then assemble a comprehensive demand package reflecting all past and reasonably anticipated future damages.
What damages can I recover for a broken bone in Indiana?
Indiana law allows recovery of economic and non-economic damages. Economic damages include past and future medical expenses (emergency care, surgery, hospitalization, physical therapy, medications, assistive devices, anticipated future procedures), lost wages, diminished earning capacity if permanent restrictions prevent you from returning to your pre-injury occupation, and property damage if applicable. Non-economic damages cover pain and suffering, emotional distress, loss of enjoyment of life, disfigurement, and scarring. Your spouse may also claim loss of consortium for diminished companionship and affection. In cases of malice, fraud, or gross negligence, punitive damages may be available under IC 34-51-3-2, capped at three times compensatory damages or $50,000, whichever is greater. There is no cap on compensatory damages in ordinary negligence fracture claims.
How do I prove the other party caused my fracture in Indiana?
Proving causation requires linking the defendant's negligence to your specific injury. Gather police reports, witness statements, and surveillance footage documenting the accident. Obtain medical records showing you had no prior fracture at that site. Biomechanical experts can reconstruct the forces involved and explain how the impact produced your specific fracture pattern. Defendants often argue pre-existing conditions—osteoporosis, prior injuries—caused or contributed to the break. Your orthopedic surgeon must testify that the trauma was the substantial cause, even if underlying bone fragility played a minor role. Consistent contemporaneous complaints—telling the ER doctor, your orthopedist, and your physical therapist the same mechanism of injury—strengthen credibility and counter defense theories of alternative causation.