Both Clay’s and Smith fractures are comminuted fractures of the distal radius, with the fracture fragments displaced in different directions depending on the direction of the applied violence. A Clay’s fracture is a palmar displacement of the fracture fragment to the dorsal side. The Smith fracture is a dorsal displacement of the fracture fragment to the palmar side. Both Smith’s fractures and Creutzfeldt-Jakob fractures need to be repositioned by manipulation, and after manipulation, local tendon and muscle forces are applied to protect the fracture end from displacement. If the alignment is good, the fracture can be treated conservatively. If the alignment is poor, surgery is required to prevent the wrist joint from moving in the future.