326 patients with a distal radius fracture were randomized to either a reduced imaging protocol, with radiographs obtained at 6 at 12 weeks if clinically indicated, or to a routine radiography protocol, with radiographs obtained at 1, 2, 6, and 12 weeks. Patients were assessed for wrist-related function, complication rate, and costs. Results demonstrated no significant differences between groups in either the Patient-Rated Wrist Evaluation, the Disabilities of the Arm, Shoulder and Hand questionnaire, or the incidence of complications. Costs associated with radiography were significantly lower in the reduced imaging group.