Closed phalangeal fractures that accompany concomitant vascular injuries are not common. The mechanism of such vessel injuries vary, from direct vascular trauma by fractured bone segment, increased compartmental pressure or unintentional vascular traction during reduction procedures. Acute digital ischemia requires appropriate surgical intervention(s) to minimize complications. The authors present a case of a closed phalangeal fracture with concomitant digital artery injury, and a brief review of the related literature.
