It means there are no big bone breaks (gross =big or obviously seen; fracture =كسر) detected, but this usually implies that the radiologist cannot rule out the possibility of very tiny fractures (شعر). But no an operation is not warranted according to this statement.
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It is recommended that all individuals see a Family Doctor for a full medical examination annually. Adults should get their blood pressure checked (US Preventive Task Force), a flu vaccine (CDC) and more each year.