Inclusion Criteria:  Cognitively able to converse in English or in native language supported by a certified medical interpreter; Diagnosed with a closed, distal radius fracture treated with open reduction and internal fixation using a volar distal radius plating system.  Exclusion Criteria:  open injury; concomitant injury to the contralateral wrist; history of flexor tendon repair involving one or both hands or wrists; use of a trans-carpal fixation device (bridge plate or external fixator) that would preclude wrist motion post-operatively; concomitant fracture / injury to the thumb or index finger of one or both hands; concomitant carpal tunnel release.