Fruit trees are managed by their pruning to produce fruit the way that they do. My guess is that normally maturing/ nonpruned trees don't have as much problem with the fruit load. Its normal to thin the fruit when on orchard- aintained trees every year, both for quality for the remaining fruit, reduced fruit drop before ripening, and reducing the fruit weight load.
I recently read that apple trees should be thinned to a fruit per 4-6", on average, for best quality of fruit. This is done when the fruit are dime-sized.
Good fruit tree pruning will help both to avoid, and deal with with inclusions and other structural issues, especially important since the weight cycles every year, significantly, especially if the fruit is not thinned. More supple branch structure that bends under load rather than breaks is sometimes developed/ hopefully developed.
Some fruit trees will go through stress where they won't produce much fruit some years, followed by too much the next year.