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Distal radius fractures in children are the most common fractures in children. There is no consensus on when and how to treat these fractures. This review summarises the present knowledge. Children have a capacity to remodel and the remodeling of the bone is reverse correlated to the child's age. The remodeling potential allows us to accept some degree of malunion before intervention. Solely a cast applied with a 3-point fixation can treat most distal radius fractures. It is therefore essential to increase focus on educating doctors in applying a correct molded cast. Unstable fractures can usually be fixated with k-wires alone.