The fingers, hands and wrists are particularly vulnerable to injury in cricket due to their constant contact with high direct forces in all aspects of the game. The radial and ulnar borders of the hand and the fingertips are particularly exposed. Early assessment and appropriate investigations lead to the earliest correct diagnosis. These are the foundations required for correct appropriate treatment and therapy, which then enables the earliest predictable return to training and to match-play. When surgery is required, it should be undertaken promptly, using appropriately strong and stable techniques that will assist these aims. This chapter will particularly highlight some principles of hand fracture management appropriate to common phalangeal and more complex proximal interphalangeal joint (PIPJ) injuries that can be applied more widely. It is best to undertake to highest quality procedure at the first surgery. Failed surgeries that require revision procedures result in prolonged disability and increased time away from the game. Ideally, there will be easy, open liaison between sports physicians, expert hand surgeons and hand therapists, team physiotherapists and the injured player. A consistent team approach avoids confusion and problems.