384 victims aged 1 to 14 years with damages of middle and distal hand parts were examined. The rate of osteo-epiphysiolysis, hand damages without affection of zone of growth in different short bones of hand is presented. Significant group of damages is composed of subperiosteal fractures and osteo-epiphysiolysis. Special features of different types of osteo-epiphysiolysis and roentgenologic signs which differ them from juxta-epiphyseal fractures are described. Of special significance in diagnosis of osteo-epiphysiolysis is the "bone lamina" sign and uneven expansion of the zone of growth.