This article describes the office treatment for five common hand fractures. In addition to examination findings and treatment options, guidelines are provided for those complications that necessitate orthopedic referral. The five fractures reviewed include mallet finger fractures, distal phalangeal fractures, fractures from volar plate injuries to the middle phalanx, dorsal dislocations of the proximal interphalangeal joint, and fractures of the fifth metacarpal.