{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T22:28:13Z","timestamp":1784932093549,"version":"3.55.0"},"reference-count":25,"publisher":"IMR Press","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Hosp Med"],"published-print":{"date-parts":[[2020,6,2]]},"abstract":"<jats:p>Distal radius fractures account for one in five bony injuries in both primary and secondary care. These are commonly the result of a fall on outstretched hands or high-energy trauma. On assessment, clinicians should determine the mechanism of injury, associated bony or soft tissue injuries, and neurovascular symptoms. Investigations should always include radiographs to evaluate for intra-articular involvement and fracture displacement. Owing to the heterogeneous injury patterns and patient profiles, the preferred management should consider the severity of the fracture, desired functional outcome and patient comorbidities. Non-operative management in select patients can give good results, especially in older adults. Immobilisation with or without reduction forms the mainstay of non-operative treatment. Surgical management options include closed reduction and application of a cast, percutaneous K-wires, open reduction and internal fixation with plates, or external fixation. Patients should be encouraged to mobilise as soon as it is safe to do so, to prevent stiffness. Median nerve compression is the most common complication followed by tendon rupture, arthrosis and malunion. This article outlines the British Orthopaedic Association Standards for Trauma and Orthopaedics for the management of distal radius fractures.<\/jats:p>","DOI":"10.12968\/hmed.2020.0006","type":"journal-article","created":{"date-parts":[[2020,6,12]],"date-time":"2020-06-12T09:38:41Z","timestamp":1591954721000},"page":"1-8","source":"Crossref","is-referenced-by-count":24,"title":["Distal radius fractures: an evidence-based approach to assessment and management"],"prefix":"10.31083","volume":"81","author":[{"given":"Kalpesh R","family":"Vaghela","sequence":"first","affiliation":[{"name":"Department of Trauma and Orthopaedics, University College London Hospitals NHS Foundation Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diana","family":"Velazquez-Pimentel","sequence":"additional","affiliation":[{"name":"Queen Mary University of London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aashish K","family":"Ahluwalia","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopaedics, Hillingdon Hospital, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anika","family":"Choraria","sequence":"additional","affiliation":[{"name":"Department of Radiology, University College Hospital, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alistair","family":"Hunter","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopaedics, University College Hospital, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"16242","reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.1177\/2151458511426874"},{"key":"B2","doi-asserted-by":"publisher","DOI":"10.1097\/01586154-201305000-00026"},{"issue":"46","key":"B3","first-page":"779","volume":"111","author":"Bartl C","year":"2014","journal-title":"Dtsch Arztebl Int"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.1007\/s12178-017-9385-8"},{"key":"B5","doi-asserted-by":"publisher","DOI":"10.1177\/1753193412458751"},{"key":"B11","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2018.07.012"},{"key":"B12","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200709000-00025"},{"key":"B13","doi-asserted-by":"publisher","DOI":"10.3310\/hta19170"},{"key":"B14","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2011.02.005"},{"key":"B15","unstructured":"Egol K, Koval KJ, Zuckerman JD. 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