Which statement about distal radius fractures is true?

• A. They never result in complications
• B. They require ongoing observation only
• C. They can lead to stiffness and CRPS
• D. They heal without immobilization

Answer: (C)

Distal radius fractures carry the risk of problems beyond bone healing, especially stiffness from immobilization and the potential for complex regional pain syndrome (CRPS). The correct statement highlights two real and important possible outcomes: losing range of motion after injury and recovery, and the development of CRPS, a condition characterized by disproportionate pain, swelling, color or temperature changes, and sensory abnormalities that can follow limb trauma.

This is why it’s the best answer: recognizing that complications can occur guides clinicians to plan not only fracture stabilization but also early, targeted rehab and vigilant monitoring for CRPS signs. After the fracture is stabilized, rehabilitation focuses on preventing stiffness through gradual, controlled ROM and edema management, while being alert to CRPS indicators so treatment can begin promptly.

The other statements are inconsistent with clinical reality. Distal radius fractures do not universally stay free of complications, nor are they managed with only observation; immobilization is typically required to allow bone and joint healing, and many cases need active rehab or surgical intervention depending on stability. Healing without immobilization is not typical for these injuries.