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Alexus M Cooper, Taylor R Wood, Donald J Scholten II, Eben A Carroll Department of Orthopaedic Surgery, Atrium Health Wake Forest Baptist, Winston-Salem, NC, USACorrespondence: Eben A Carroll, Department of Orthopaedic Surgery, Atrium Health Wake Forest Baptist, Winston-Salem, NC, USA, Email ecarroll@wakehealth.eduAbstract: The elderly have conventionally been defined as individuals over the age of 65 and are projected to represent about 21% of the United States (US) population by the year 2030. Distal radius fractures (DRF) in particular are one of the most common fractures among elderly patients and their incidence continues to rise in part due to increased activity levels among the elderly, increased life expectancy, rising rates of obesity, changes to dietary habits, and the prevalence of osteoporosis. Although various treatment options exist for these injuries, nonsurgical treatment of distal radius fractures remains a mainstay among elderly patients with mounting evidence of its non-inferiority to surgical fixation in the literature. Here, we summarize the overall approach to nonsurgical treatment of distal radius fractures in the elderly population while examining its supporting data and highlighting potential risks and limitations to it.Keywords: distal radius fracture, osteoporosis, nonsurgical treatment, nonoperative treatment, geriatric trauma, volar locking plate