We report a case of an isolated, nondisplaced trapezoid fracture that was sustained by direct trauma and subsequently treated successfully in a short-arm cast.
At the first clinic visit, the patient was placed in a short-arm cast for 6 weeks, with follow-up radiographs at regular intervals thereafter.
Saeden B, Tornkvist H, et al: Surgery with a Herbert screw shortened sick leave and was as effective as a short-arm cast
for carpal scaphoid fracture.
Of the 33 fractures that showed a loss of reduction, 16 were in patients with radial gutter short-arm casts and 17 were in those with long sugar-tong splints.
Patients with all types of fractures rated the short-arm casts better in terms of comfort and functionality.