Which symptom is NOT commonly associated with fractures?

Internal bleeding is not a symptom that is commonly associated with fractures in all circumstances. When a fracture occurs, the more typical symptoms include pain, deformity, and swelling. Pain arises due to the damage to bone and surrounding soft tissues, leading to a strong nociceptive response. Deformity may present if the fracture is displaced or if there is a significant injury to the surrounding structures. Swelling is a result of inflammation, which is the body’s natural response to injury as blood flow increases to the area and fluid accumulates.

Internal bleeding can occur in fractures, particularly those involving major blood vessels or in cases of open fractures, but it is not an all-encompassing symptom like the other options. Not all fractures will involve bleeding, especially in closed fractures or in instances where the integrity of blood vessels is maintained. Therefore, internal bleeding is viewed as a possible but not universally present symptom in the context of fractures.