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Wrist arthroscopy is increasingly becoming recognized as an important adjunct in the management of displaced intra-articular distal radius fractures. Anatomic restoration of the articular surface is possible under bright, magnified conditions with minimal soft tissue disruption. Osteochondral loose bodies and associated intracarpal soft tissue lesions that may not be apparent radiographically are detected and simultaneously managed. A method of management for displaced distal radius fractures using wrist arthroscopy and a combination of percutaneous and limited open reduction techniques is described.