F RACTURES of a11 kinds are the pet aversion not only of the genera1 practitioner but of many surgeons. The reasons for this are twofoId. In the first pIace the average physician will not take the time to equip himseIf with a thorough knowIedge of fractures nor wiI1 he exercise the patience and painstaking and time-consuming care that is necessary to a favorabIe resuIt. ConsequentIy the uItimate results in broken bones are not a11 that could be expected nor that we couId desire. The same discontent is experienced by the patient and hence the frequency of suits for maIpractice, which is the second reason for fracture patients being unpopuIsr in the eyes of the physician. It is true that most of the suits are in the case of fractures of the Iarger Iong bones but the crippIed fingers come in for their quota of dissatisfaction and law suits. A IittIe more attention shouId therefore be directed to them. AIthough these fractures constitute 0nIy from 3 per cent to 4 per cent of a11 fractures, nevertheIess they resuIt often in deformity or dysfunction out of a11 porportion to the severity of the injury. Again the result in these infected compound fractures is a11 too frequentIy that of Ioss of the digit from necessary amputation. In the consideration of these as we11 as other fractures a rea1 knowIedge of the appIied anatomy is the First and most important feature. No one can understand why a typical deformity occurs or how to correct the same without this knowledge.