The most susceptible areas of the hand to fracture are the phalanges and metacarpals, as the phalanges are most susceptible to trauma resulting in localized avulsion fracture. Avulsion fracture requires immobilization of the finger and surgery if the fracture fragment is severely displaced, as the avulsion point of avulsion fracture is the stopping point of the tendon, which will result in limitation of the hand’s functional activities. Another area of the hand that is prone to fracture is the 4th-5th metacarpal bones. Under normal circumstances, a violent clenched fist will result in a fracture of the 4th-5th metacarpal bones, which will be displaced and the fracture end will move to the palmar side and result in deformity, which will need to be manoeuvred and braced with a clenched-fist plaster cast.