The most common fracture that results from landing on the back of the hand is the Smith fracture of the distal radius. Smith’s fracture is a specific type of distal radius fracture caused by landing on the back of the hand, and is more common in clinical practice, but is more commonly caused by landing on the center of the hand. Dorsal landing causes the distal end of the fracture to be displaced palmarly and, due to force, radially, in contrast to the mechanism of injury in which a fracture is formed by landing on the center of the hand. The force used in manual reduction is only possible if the distal break of the fracture is pulled and the distal end of the fracture is reset dorsally and ulnarly. The vast majority of Smith’s fractures do not require surgical treatment, only manipulative reduction and cast immobilization.