Distal radius fractures (DRF) are among the most common orthopedic injuries, both in young adults and in elderly patients.(1,2,4،7 ) Effective management of these fractures is crucial to restoring wrist function, ensuring stability, and minimizing complications. (2)Traditional open reduction and internal fixation (ORIF) remains the cornerstone of treatment. (3)However, minimally invasive techniques are increasingly gaining attention for their ability to improve outcomes while reducing complications.(5, 8) Wrist arthroscopy has emerged as a valuable tool in the management of DRF. It allows for direct visualization of intra-articular fractures, assessment of associated soft tissue injuries, and precise reduction of fracture fragments. Additionally, it facilitates the identification and management of concomitant injuries, such as triangular fibrocartilage complex (TFCC) tears or ligament injuries, which are frequently overlooked in traditional techniques. (6, 9 ،10) Despite these advantages, the use of wrist arthroscopy in DRF management remains underutilized in many regions. In Assiut University Hospital, there is a growing interest in incorporating advanced techniques, including wrist arthroscopy, into the management of orthopedic injuries. However, there is limited local data on the outcomes and feasibility of this approach in the treatment of DRF. This case series aims to evaluate the clinical and functional outcomes of DRF management using wrist arthroscopy, providing insight into its effectiveness, safety, and applicability in a tertiary care setting. By documenting the experiences and outcomes of patients treated with this innovative technique, this study seeks to contribute to the existing literature and guide the future adoption of arthroscopy-assisted methods in DRF management in the region.

-The aim of this study is to evaluate the clinical and functional outcomes of managing distal radius fractures assisted by wrist arthroscopy at Assiut University Hospital using Mayo wrist score, with a focus on its effectiveness, safety, and feasibility in improving fracture reduction, identifying associated injuries, and enhancing patient recovery.

Inclusion Criteria:

• Recent distal radius fractures which occurred less than 14 day clssification 2R3B1,2R3B2,2R3B3,2R3C1 on AO classification with articular surface displacement or gap ≥ 2mm after reduction
• Patient aged from 18 to 60 years.
• Potential associated ligament injuries.

Exclusion Criteria:

• Poly-traumatized patients or those with other fractures in the same upper limb.
• Open fractures or neurovascular deficit or medical fractures.
• Patient with severe complications that prevent clear visualization during arthroscopy.
• Patient with uncontrolled chronic diseases, especially uncontrolled DM or HTN

Recent distal radius fractures which occurred less than 14 day clssification 2R3B1,2R3B2,2R3B3,2R3C1 on AO classification with articular surface displacement or gap ≥ 2mm after reduction