The distal end of the barrel-shaped deformity fracture is displaced to the radial side along with the hand, and the axis of the middle finger is not in the same plane as the axis of the radius. It is a unique deformity of the Coles fracture and is one of the most frequent fractures in the human body, accounting for 10% of all fractures, with the elderly and adults accounting for the majority. The cause is mostly due to indirect violence. When a patient falls with the wrist in dorsal extension and lands on the palm of the hand, he feels severe pain in the wrist and is afraid to move around. The swelling is especially obvious with local swelling, and sometimes subcutaneous bruising can be seen, with the fingers in a semi-flexed resting position, not daring to make a fist, and requiring the healthy hand to support the affected hand to alleviate some pain. If the proximal end of the break presses the median nerve, there is numbness of the finger and other manifestations of median nerve dysfunction. The typical fork-like deformity appears, and the ulna is obviously bulging. The lower ulnar radial joint and the distal radius have obvious pressure pain, and the ulnar stem relationship is abnormal, with the radial stem being at the same level as the ulnar stem or the ulnar meridian being more distally prominent than the radial stem. X-ray showed that the radius was transected at about 3.0 cm from the articular surface, and the distal fracture segment was displaced to the radial side on the orthopantomograph, which could be inserted with the proximal fracture segment. The lower radial articular surface tilt to the ulnar side is reduced, normally 20° to 25°, and may decrease to 5° to 15° or even disappear after fracture; on the lateral view, the distal radius is displaced to the dorsal side, and the articular surface palmar tilt angle is reduced or disappears, normally 10° to 15°. In the elderly, the distal fracture segment may be comminuted.