"Like the capitate, the trapezoid has a protected position and is the least commonly fractured carpal bone. Trapezoid fractures usually occur at the dorsal rim or body 4. An isolated trapezoid fracture is rare; it is often associated with a second metacarpal fracture 2. Such injuries are often the result of axial loading of the index finger (second) metacarpal 1-3,5. A trapezoid fracture may be difficult to visualise on routine radiographs and may be assisted by oblique views 1."