assessment of range of motion, grip strength, ability to perform activities of daily living, and radiological picture. However, none of the three scoring system demonstrated good reliability. There are also two scoring systems for Patient Reported Outome Measures (PROMs): the Disabilities of Hand, Arm and Shoulder (DASH) Score and the Patient-Related Wrist Evaluation (PRWE) Score. These scoring systems measures the ability of a person to perform a task, pain score, presence of tingling and numbness, the effect on activities of daily living, and self-image. Both scoring systems show good reliability and validity. Age factor In children, the outcome of distal radius fracture is usually very good with healing and return to normal function expected. Some residual deformity is common, but this often remodels as the child grows. In young patients, the injury requires greater force and results in more displacement, particularly to the articular surface. Unless an accurate reduction of the joint surface is obtained, these patients are very likely to have long-term symptoms of pain, arthritis, and stiffness. In the elderly, distal radius fractures heal and may result in adequate function following nonoperative treatment. A large proportion of these fractures occur in elderly people who may have less requirement for strenuous use of their wrists. Some of these patients tolerate severe deformities and minor loss of wrist motion very well, even without reduction of the fracture. There is no difference in functional outcomes between operative and non-operative management in the elderly age group, despite better anatomical results in the operative group. Epidemiology Distal radius fractures are the most common fractures seen in adults and children. Distal radius fractures account for 18% of all adult fractures with an approximate rate of 23.6 to 25.8 per 100,000 per year. For children, both boys and girls have a similar incidence of these types of fractures, however the peak ages differ slightly. Girls peak at 11 years old and boys peak at 14 years old (the age that children experience the most fractures). For adults, incidences in females outnumber incidences in males by a factor of three to two. In adults, the average age of occurrence is between 57 and 66 years. Men who sustain distal radius fractures are usually younger, generally in their 40s (vs. 60s in females). Low energy injury (usually fall from standing height) is the usual cause of distal end radius fracture (66 to 77% of cases). High energy