The second fracture is similar to the first fracture in that there is localized swelling, pain, limited mobility, and longitudinal percussion pain. If the fracture was internally fixed and the internal fixation is loose and not broken, the swelling and pain will not be as great as the first fracture and the longitudinal percussion pain will not be as pronounced. However, if the internal fixation is broken or if the fracture was not fixed, the second fracture may be more severe, with local bone rubbing or pseudo-articular movement, and local deformity in appearance.