We often feel local pain and swelling after a traumatic injury, does this necessarily mean that it is a fracture? Actually, it is not necessarily so. Soft tissue injury, ligament sprain, joint dislocation, etc. may all cause pain and swelling. Therefore, only by understanding some special manifestations after a fracture can you determine whether you have a fracture, so that you can diagnose and treat it in time. When the patient has local pain and swelling due to some violent reasons, some special manifestations should also be noted, such as deformity. Some patients, especially the elderly, after falling, their wrists form like the silver fork in western cutlery, the so-called silver fork-like deformity, which means there is a radial fracture. There is also pseudo-articular formation, that is, the fracture site like a joint can be moved, is also very likely to be a fracture. A fracture is also indicated when a bone rubbing sound is heard when moving. However, neither the physician nor the patient should intentionally move the limb to check for bone rubbing sounds in order to clarify whether there is a fracture, as this can aggravate the patient’s injury. Therefore, we should all be highly alert to the occurrence of fracture when trauma causes swelling and pain in the joint, otherwise it will delay the diagnosis and treatment and cause great damage to the patient.