Carpal tunnel syndrome (CTS) after distal radius fractures can present in 3 
forms: acute, transient, and delayed. Acute CTS requires an emergent carpal 
tunnel release. Many patients with transient CTS after distal radius fracture do 
not require surgical release of the carpal tunnel once the fracture is repaired. 
Prophylactic carpal tunnel release in the absence of signs and symptoms of CTS 
after a distal radius fracture is not indicated. For patients with delayed CTS 
after a distal radius fracture, all possible causes of nerve compression should 
be considered and addressed in standard fashion.