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A break or crack in the bone is called a fracture. A broken bone that does not puncture the skin is called a closed fracture. But sometimes the bone can puncture the skin, this is called an open fracture. Even if you cant see any blood, the break will have caused some internal bleeding. And the injuried person may develop shock. Bones that are still growing, like childrens bones are supple and can split, crack or bend quite easily. A bit like a twig, but the injury is still very painful. If you think someone has a fracture, you may see: swelling and bruising. The may have difficulty moving and have movement in an unnatural direction. Their limb may look shorter, twisted or bent. There may be a grating noise or feeling if the limb is moved. Have loss of strength or see signs of shock. If you think youve broken a bone, support the injured part to stop it from moving this should help ease the pain and prevent any further damage. Place padding around the injury for extra support. If it