Editing Distal radius fracture (section)

====Displaced fractures====
In displaced distal radius fracture, in those with low demands, the hand can be cast until the person feels comfortable. If the fracture affects the [[median nerve]], only then is a reduction indicated. If the instability risk is less than 70%, the hand can be manipulated under regional block or general anaesthesia to achieve reduction. If the post reduction radiology of the wrist is acceptable, then the person can come for follow up at one, two, or three weeks to look for any displacement of fractures during this period. If the reduction is maintained, then the cast should continue for 4 to 6 weeks. If the fracture is displaced, surgical management is the proper treatment. If the instability risk of the wrist is more than 70%, then surgical management is required. 43% of displaced fractures will be unstable within the first two weeks and 47% of the remaining unstable fractures will become unstable after two weeks. Therefore, periodic reviews are important to prevent malunion of the displaced fractures.<ref name="Court-Brown 2015"/>

Closed reduction of a distal radius fracture involves first [[Anesthesia|anesthetizing]] the affected area with a [[hematoma block]], [[intravenous regional anesthesia]] (Bier's block), [[sedation]] or a [[general anesthesia]].<ref name="Court-Brown 2015"/> Manipulation generally includes first placing the arm under traction and unlocking the fragments. The deformity is then reduced with appropriate closed manipulative (depending on the type of deformity)  [[Reduction (orthopedic surgery)|reduction]], after which a splint or cast is placed and an [[X-ray]] is taken to ensure that the reduction was successful. The cast is usually maintained for about 6 weeks.<ref name="Court-Brown 2015"/>