You can use the AForge imaging library to do some of the work, but it's still a far cry.
Perhaps from the x-ray, if you have adequate metadata, you would be able to tell the alignment of the image?
The fracture would have to be fairly pronounced for it to show up...you could try a high-pass filter of some sort to get pixels that are > some value towards white.
Here's some info on
AForge[
^] image processing and some specifically on
edge detection[
^].
Cheers.