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well my name is John Fralick Im a hand surgeon at panorama orthopaedics wrist fractures are a really common injury here in Colorado between the mountain biking and snowboarding and skiing and just the ice we get here its very common for people to fall and break their wrist the management of these wrist fractures can be anywhere from a simple cast to requiring surgery so the wrist in general is a pretty complex area of our body in fact thats basically all I do is wrist and hand surgery if you end up and break your wrist one of the things that we look at most commonly is whether that fracture extends into the joint surface itself so if we look at a wrist and generally have two bones the radius and the ulna this one has been fixed you can see by the hardware thats present thats the white area now if the fracture line comes up into the joint surface thats the surface right here then those are a little bit more complex and those oftentimes will require surgery but not every time the