Wrist fractures and wrist sprains are caused by similar mechanisms, such as slipping off the floor, falling from a height, or giving pressure on the wrist while falling. You can identify it by seeing the size and shape of the wrist to find out whether it is a sprain or a fracture. If the wrist is not straight it could be a wrist fracture. If the pain is not reducing and perseveres and the swelling gets worse, making it difficult to use to the hand, an X-ray is necessary to determine whether it is a wrist fracture or not.
The X-ray is a reasonably uncomplicated, swift, and easy thing to do and will tell us generally if it is a fracture or not. Deformity of the wrist or bone matter breaking through the skin is the apparent sign of fracture. Pain occurs both in sprain and fracture, and intensity of pain is more or less common in both the cases and so pain cannot be considered to find out if it is sprain or fracture.