Introduction: Hand injuries [HI]are global, with large impacts psychologically, professionally and economically. Methods: This is a cross-sectional study of HI presenting to the Emergency Room of King Fahd Hospital of the University in Al-Khobar, during the first half of the years 1995-1999. It comprises two components: an overall study of age, sex, and nationality of HI [1995-1999); and focusing on 1995 regarding sex, nationality, place of injury, the type, extent of involvement and classification of causes. Results: 2,231 patients were identified over the five years. More males, Saudis, and young patients [<39 years] were affected. In 1995, the place of injury was mainly domestic [32.3%), the at work [14.6%). The most affected were children < 5 years of age [37%] and students [45%). Fingers were involved in 54.7% of cases, then wrists in 15.2%. Laceration was encountered mostly in 44.5% of cases. The cause was predominantly falls 31.3%, then, environment 25.3%. Association between young age and severe hand injury was statistically significant [OR=1.75, p=0.003). Arrival to ER within 2 hours occurred in 19.6% of cases and within 6 hours in 28.6% of cases. Four hundred seventy seven [90.3%] were admitted and discharged within 24 hours. Sick leave ranged 1-28 days [x=9.05 ± 7.11), and hospital stay 1-41 days [x=10 ± 13.92), Conclusion: HI are common and affect youngs more in our experience. Estimating the magnitude of this problem under community conditions and identifying high risk groups aid authorities to plan the appropriate resources and preventive measures.