What is a common sign of a fracture in children?

Refusal to use the affected limb is a common sign of a fracture in children because it often indicates pain or discomfort resulting from the injury. When a fracture occurs, the immediate reaction is typically to protect the injured area, leading to a reluctance or outright refusal to utilize that limb. This behavior can manifest as not bearing weight on a leg or avoiding movement of an arm.

Additionally, while visible swelling can be another indicator of a fracture and may accompany it, the key reaction of refusing to use a limb specifically signals distress and suggests there is significant pain or injury that a child understands instinctively. Increased alertness may not be relevant to a fracture, as the child may actually be less alert due to pain or shock. Persistent crying may indicate discomfort but is not as specific as the refusal to use the affected limb. Recognizing this behavioral cue helps caregivers promptly address potential fractures and seek appropriate medical evaluation.