Distal radius fractureWhat is the diagnosis?

• Fracture of the distal radial metaphysis with displacement and loss of the normal radial height
• Carpal bones are aligned
• Follow-up film: two percutaneous K-wires stabilise the reduced fracture

Distal radius fractures follow a fall on an outstretched hand. Assess radial height, radial inclination and volar tilt, and look for intra-articular extension and distal radioulnar joint injury.

Displaced or unstable fractures are reduced and held — with a cast, K-wires as here, or a volar locking plate. Always check the scaphoid and carpal alignment on wrist films.