Impalement injuries are relatively rare. The most common anatomical site of involvement is the extremities. Impalement injuries are defined as penetrating injuries where traumatic agent remains impaled in the human body. 1 Foreign body penetration of hand and wrist usually present as emergency cases. Due to their rarity, the management of this clinical condition remains controversial. Here we report A case of impalement injury of the hand and their successful management. The patient even though injured by such an object had minimum injuries. Case: 42 years old male presented with history of slipping while trying to cross a fence. He sustained penetrating injury over left hand by iron fence finial 7 hours prior to presentation.