What is the most appropriate management for a patient with a nondisplaced scaphoid fracture?

The most appropriate management for a patient with a nondisplaced scaphoid fracture is immobilization in a short arm cast. This management is based on the understanding that nondisplaced scaphoid fractures have a good chance of healing without the need for surgical intervention.

The scaphoid bone, located in the wrist, is particularly prone to fractures due to its unique position and blood supply. When these fractures are nondisplaced, meaning the bone fragments are still in alignment, conservative treatment with immobilization is ideal. A short arm cast provides adequate stabilization and allows the fracture to heal while also protecting the wrist from further injury.

This approach helps maintain function and limits the risk of complications associated with more invasive procedures. Nondisplaced fractures typically have a good prognosis, and immobilization in a cast is sufficient to facilitate healing while minimizing patient discomfort and promoting overall wrist functionality during recovery.

In contrast, other options like immobilization in a splint or immediate surgical intervention are not the standard treatment. A splint may not provide the necessary rigidity for the healing process that a cast does, and surgery is reserved for cases where the fracture is displaced or in situations where nonunion or complications are likely. Physical therapy is generally not indicated until after the healing