Metacarpal and phalangeal fractures are common athletic injuries may significantly affect the athlete's career. There is no difference between treatment options for amateur, professional athletes or non athletic population. Indications, postoperative immobilization and care and, timing for return to activity are critical points in the treatment of athletes. The goal is to allow the athlete to get back sporting activities as soon as possible and minimize risk of reinjury as much as possible. While treating hand fractures in the athlete, the type of sport, position in the sport, level of athlete and demand for hand use should be considered. Surgeon needs to communicate clearly with the athlete, coaches and training staff to explain the treatment options, risks and benefits. Never jeopardize long- term outcome for short term expectations.