What is the most appropriate treatment for a suspected scaphoid fracture in a patient with tenderness in the anatomical snuff box?

The most appropriate treatment for a suspected scaphoid fracture in a patient with tenderness in the anatomical snuff box involves the application of a splint. Scaphoid fractures are particularly important to identify and manage correctly due to the potential for complications such as nonunion or avascular necrosis, which can arise from inadequate treatment.

When there is tenderness in the anatomical snuff box, it is indicative of possible scaphoid injury, which should be immobilized promptly. A splint restricts movement and helps to stabilize the wrist and thumb, allowing for the healing process to begin. This immobilization is critical, as there is a risk of further injury or complications if the wrist is not supported properly.

While some options may seem appropriate under certain conditions—such as no treatment if the fracture is very unlikely or an ACE wrap for swelling—these do not provide the necessary stability or protection required for suspected scaphoid fractures. Immediate orthopedic referral is more suitable if there are signs of complicated fractures or if surgical intervention is likely, but in the initial management of a suspected fracture, splinting is the key first step.