Abstract
Background
 Herein we present a rare case of isolated trapezoid fracture from occult trauma and review this type of fracture as related to sports injuries. The common presentation of occult trauma is important and proper imaging will lead to accurate diagnosis and consequent treatment with excellent results.
 
 Case presentation 
 A 28-year-old right hand-dominant female presented with pain in her right hand for 1 week following a boxing class in fitness training. She was diagnosed as isolated trapezoid fracture. She was successfully treated with short arm cast immobilization for 3 weeks and a moveable wrist splint for 3 weeks with activity modification. A one year follow up confirmed excellent clinical results.
 
 Conclusion
 Isolated sports-related trapezoid fractures are rare and the diagnosis is usually missed. Advanced imaging can be helpful. Following conservative treatment our patient was able to return to normal activities and continued to have no problems at the 1 year follow up.
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