Case ReportsTrapezoid Stress Fracture in an Olympic-Level Gymnast A Case ReportBertha, Nicholas M. MD1; Wisinski, Jeffrey J. DO1; Taylor, Kenneth F. MD1,* Author Information 1Department of Orthopedics and Rehabilitation, Penn State Milton S. Hershey Medical Center, Hershey, Pennsylvania *E-mail address for: K. Taylor: [email protected] Investigation performed at Department of Orthopedics and Rehabilitation, Penn State Milton S. Hershey Medical Center, Hershey, PA Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (https://links.lww.com/JBJSCC/C52). JBJS Case Connector 13(1):e22.00626, January-March 2023. | DOI: 10.2106/JBJS.CC.22.00626 Buy Metrics Abstract Case: A 23-year-old elite-level gymnast presented with insidious-onset pain near the base of the second metacarpal. The patient was found to have a trapezoid stress fracture and was treated nonoperatively in a thumb spica cast for 4 weeks. He resumed gymnastics without limitations 8 weeks from the time of diagnosis. Conclusion: Trapezoid stress fractures must be considered when evaluating patients presenting with pain about the base of the index finger metacarpal, particularly those who perform activities that repetitively place high loads across the wrist. Wrist immobilization and a supervised return to participation resulted in an excellent outcome for this patient. Copyright © 2023 by The Journal of Bone and Joint Surgery, Incorporated
