The role and technique of arthroscopy when used in the treatment of fractures of he distal radius are reviewed. Arthroscopy, if properly modified, assists in the evaluation and reduction of displaced intra-articular fractures of the distal radius in treating associated injuries within the carpus. Technical details important to the successful use of this technique are discussed. Favorable outcomes have been reported after the use of this technique for the reduction of displaced intra-articular fractures of the distal radius.