Hand injuries account for a large proportion of all injuries presenting to emergency departments. Avulsion injuries of the FDP tendons are a common sporting injury. Bowstringing of the flexor tendons is an important imaging sign of multiple annular pulley injuries. Mallet finger is the most common closed tendon injury in a sportsman. Rupture of the volar plate is a common complication of hyperextension injury. Imaging plays a crucial role in the management of collateral ligament injuries. The extensor mechanism of the fingers is extremely intricate. Understanding relevant anatomy is quintessential for diagnosing and treating extensor mechanism injuries. Intra-articular metacarpal base fractures are commonly missed on initial presentation, and pronated oblique radiographs help demonstrate the severity of this injury. Imaging evaluation of sports-related injuries of the hand should begin with radiographs. Ultrasound and magnetic resonance imaging play a vital role in diagnoses of soft tissue injuries. CT may be useful in understanding complex bony injuries.