Abstract
Fractures of the distal radius are common and are becoming more so with population ageing. The choice of treatment depends on the specific characteristics of the fracture and the patient’s functional level. Due to a large number of variables contributing to the outcomes of treatment, and our limited ability to account for many of these factors, decision-making remains controversial and differs by geographical area as well as functional and other considerations. We aim to present the current literature regarding some of the elements affecting treatment decisions for distal radius fractures in the ageing population. By better identifying and evaluating patient-specific factors (including occupation, function, social support system etc.) the indications for treatment and ultimate outcomes can improve.