How effective is closed reduction for distal radius fracture?

It is a manipulation performed without opening the skin. A clinician guides the wrist bones back toward a better position, then uses a splint or cast to hold them there. X-rays before and after the procedure help show whether the alignment is acceptable.

Effectiveness is not judged only by whether the wrist looks straighter immediately. The fracture also needs enough stability to keep its position as swelling changes and the bone heals. A simple, stable break may remain well aligned in a cast, while a fracture that is unstable, severely displaced, or extends into the wrist joint may shift again.

Age, bone strength, swelling, and the condition of the skin and nerves can influence the plan. Repeat imaging is often used to check alignment during healing. If the position cannot be maintained or the joint surface remains poorly aligned, the orthopaedic team may discuss another treatment, including surgery. Read more about the injury in [Distal Radius Fracture](/conditions/distal-radius-fracture/).

Keep the splint or cast dry and follow the prescribed movement restrictions. Elevating the hand can help limit swelling, and moving the fingers gently when permitted can reduce stiffness. Do not place objects inside the cast or alter it yourself.

Attend the planned review and imaging appointments even if pain improves. Tell the treating team if the cast feels increasingly tight, becomes damaged, or rubs the skin. Once the bone is sufficiently protected, a clinician or physiotherapist can guide wrist and forearm exercises; starting too forcefully can disturb healing.

Learn how the procedure is performed and what recovery involves from [Closed Reduction](/treatments/trauma-and-fracture-care/closed-reduction/).

Seek urgent medical assessment if the fingers become blue, unusually pale, cold, numb, or increasingly difficult to move. Severe or rapidly worsening pain, swelling that feels tight beneath the cast, or new pins and needles can signal pressure or reduced circulation.

Contact the fracture service promptly if the splint or cast breaks, becomes wet, slips, or causes a sore area. Fever, drainage, or worsening redness around a wound also needs assessment. Do not wait for the next routine appointment when these changes appear.

Ask whether the fracture is stable after reduction, how alignment will be monitored, and which movements are safe at each stage. You can also ask what changes would mean the bone has shifted and when rehabilitation should begin.