Fractures of the distal radius

Fractures of the distal radius are common. They represent a broad range of injuries, from insufficiency fractures in osteoporosis to high-energy multifragmentary fractures in young adults. The restoration of specific radiological anatomical parameters is associated with a better outcome and a reduced risk of developing degenerative joint disease.Treatment method depends on fracture stability; stable fractures may be amenable to manipulation and casting. Unstable fractures or fractures with depressed articular fragments require surgery. Techniques include casting, manipulation and casting, K-wire fixation, external fixation, open reduction and fixation using plates (icluding volar locking plates). Paediatric fractures may be greenstick or displaced physeal injuries which often require manipulation under anaesthesia before casting. The complications of distal radius fractures include acute carpal tunnel syndrome.