Abstract
Fractures of the distal radius are among the most common fractures, and of these, the most familiar pattern is the Colles fracture. These injuries require careful evaluation and treatment specific to the fracture pattern if they are to have good outcomes. Familiarity with the anatomy and natural history of distal radius fracture patterns is essential to managing or referring these fractures appropriately. Fractures of the radius and ulnar shaft are usually displaced and unstable, and most require operative treatment. Nondisplaced extraarticular fractures of the distal radius and isolated fractures of the ulnar shaft can be managed effectively by primary care providers. Those clinicians with additional experience in fracture reduction can safely manage displaced Colles fractures with accurate assessment of fracture alignment and careful attention to follow-up care and rehabilitation. Fractures of the distal radius are common in children and adolescents and heal without difficulty in most cases.
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