A distal radius fracture is a break near the wrist end of the larger forearm bone. It often follows a fall, but the pattern can vary widely, from a stable fracture treated in a cast to an unstable or joint-involving injury that needs fixation.
An X-ray is important, but treatment is not chosen from one image alone. Swelling, skin condition, nerve symptoms, bone quality, alignment, hand use and the stability of the fracture all matter.
Symptoms that need attention
- Pain, swelling, bruising and difficulty moving the wrist
- Visible deformity or a wrist that looks different from the other side
- Numbness or tingling in the fingers
- A pale, cold or increasingly swollen hand after injury
Casting versus fixation
A stable fracture with acceptable alignment may be protected in a splint or cast with repeat imaging to make sure the position holds. If the fracture is displaced, unstable or extends into the joint, pins, plates and screws or another fixation method may be considered.
The goal is not simply a normal-looking X-ray. The goal is a wrist that heals in a useful position while allowing safe motion to begin at the appropriate time.
Recovery and stiffness
Swelling and stiffness can continue after the bone is healed. Finger motion is often encouraged early while the wrist is protected, and hand therapy may be used to restore motion, strength and confidence in using the hand.
Return to lifting, sport and work depends on fracture healing, pain, motion and the demands of the activity. A calendar date is less useful than a progression based on the examination and imaging.
When to seek urgent care
A deformed wrist, open wound, new numbness, severe swelling, a cold or pale hand, or pain that is rapidly worsening should be assessed promptly.
Sources and further reading
Frequently asked questions
Does every broken wrist need surgery?
No. Treatment depends on alignment, stability, joint involvement, skin and soft tissue, and the person’s functional needs.
Why does my hand remain stiff after the fracture is healed?
Immobilisation, swelling, tendon irritation and changes around the wrist can all reduce motion. Therapy and a gradual return to use help, but recovery can continue after the X-ray looks healed.