Background <p>Distal radius fractures (DRFs) are among the most frequent injuries in older adults, especially those with osteoporosis. In India, these fractures are becoming more common due to longer life spans, changing lifestyles, and increasing rates of undiagnosed osteoporosis.</p> Objective <p>To explore the growing burden of osteoporotic DRFs and evaluate current approaches to their management, focusing on both non-surgical and surgical strategies tailored for the aging population.</p> Methods <p>This review brings together recent research and clinical insights on the causes, challenges, and treatments of osteoporotic DRFs. It covers conservative care, surgical options like volar locking plates and external fixators, and newer techniques such as bone grafting, augmentation, and hemiarthroplasty.</p> Results <p>This review brings together recent research and clinical insights on the causes, challenges, and treatments of osteoporotic DRFs. It covers conservative care, surgical options like volar locking plates and external fixators, and newer techniques such as bone grafting, augmentation, and hemiarthroplasty.</p> Conclusion <p>Managing osteoporotic DRFs requires a personalized approach that balances bone quality, fracture type, and patient needs. Early diagnosis of osteoporosis and appropriate treatment choices can significantly improve healing, function, and overall quality of life.</p>