<p>Distal radius fractures (DRFs) account for 15% of all fractures in adults. Optimal treatment of DRFs depend on patient and fracture characteristics. Non- or minimally displaced DRFs can be treated nonoperatively with a cast. Although surgical treatment is becoming more popular, the majority of patients with a DRF are still treated nonoperatively. In addition, these considerations may be different for elderly patients. Conflicting evidence exists on the different aspects of treatment of DRFs. These recommendations regarding distal radius fractures describe considerations regarding diagnostic modalities, associated soft tissue injuries, different treatment options, rehabilitation protocol, considerations for treatment of elderly patients, follow-up decisions and possible complications. The aim is to aid the orthopedic traumasurgeon in decision making and treatment of distal radius fractures.</p>