151 A unique case of a spin bowler in Cricket with multiple stress fractures in the dominant hand is presented for its rarity. The probable cause of this overuse injury was the way he held the ball, leading to abnormal force concentrations in the index, middle and ring fingers, with maximum strain at DIP joint of index finger and MP joint of the ring finger. It is postulated that this caused a cumulative stress injury at the head of the 4th metacarpal as well as distal phalanx. The stress lesion was cured after rest from bowling, and the patient went back to spin bowling under supervision and adequate precautions, as well as as altering the ball grip. This is the first case of its kind; the authors recommend routine analysis of the dominant hand of all finger spinners, along with video-graphic analysis of their grip and action, to pick up poten- tial areas of stress concentration at an early stage. Key words: Stress fracture- cricket- spin bowler Cricket is a major international sport, with nations of the Indian subconti- nent playing it extensively. Although strictly a non-contact sport, injuries in cricket can result in a number of ways (7,8,9). In high level cricket, overuse injuries are common and related to the physical demands of the sport. The most common overuse injuries are reported in lower backs of bowlers (2,8); the bowling action involves repetitive twisting, extension and rotation of the trunk at the same time as absorption of large ground reaction forces. The lit- erature has focused on overuse injuries of the lumbar spine, with little men- tion of any other such issue in the upper limb. Injuries to the hand are less than 1.5% of all cricket related injuries (Austra- lia Cricket Board Data). Almost all are due to direct blows occurring in field- ing or in the leading hand of batsmen (1,3,4,5). Hand injures in bowlers are Published in : Journal of Sports Traumatology & Allied Sciences, 2007,8:1-5. 47 M S Dhillon, S Singh, S Aggarwal, Himmat Dhillon Department of Orthopaedics, PGIMER, Chandigarh