Complications of distal radius fractures in the skeletally mature patient

Distal radius fractures (DRFs) are some of the most common fractures seen in the emergency department, accounting for up to one in six of all fractures seen. Given the high prevalence of this injury, complications following DRF are a significant concern, regardless of how they are managed. A robust understanding of these, and how they can be avoided, is essential to any orthopaedic practitioner. This paper sets out the complications associated with DRFs, stratified into six broad categories relating to healing and biomechanics, infection, neurovascular structures, tendon injury, pain, and psychological factors. We will outline associated risk factors, treatment strategies and tips to avoid each complication.