Background: Distal end radius fractures (DERFs) are among the most common orthopaedic injuries, particularly in elderly individuals and young adults involved in high-energy trauma. Material and Methods: This study aims to analyse the epidemiology of associated injuries occurring concurrently with DERFs in a sample size of 300 patients. The findings highlight the incidence, risk factors, and patterns of associated injuries, contributing to improved diagnosis and management strategies. Results: The study was conducted in Karwar institute of medical sciences, Karwar, over two years, including both male and female patients aged 18-85 years. A structured assessment was performed, and associated injuries were classified based on anatomical location and severity. The prevalence of associated injuries was 37.3%, with ulnar styloid fractures (22.6%), scaphoid fractures (6.6%), ligamentous injuries (4%), elbow and humeral fractures (2.6%), and shoulder dislocations (1.3%) being the most common.Conclusion: The study concludes that associated injuries significantly impact patient outcomes and should be carefully assessed for comprehensive treatment planning.