<p> Background: The proximal phalanx (PP) of the fingers is fractured more frequently than the middle or even distal phalanges. The objective of the study was to analyse the treatment outcome in a series of closed proximal phalangeal fractures of the hand. Materials and Methods : Eighty-four proximal phalangeal fractures in 68 patients were enrolled from 2013 to 2015. The treatment modalities were broadly categorised into two groups, Group A consisted of conservative treatment, and Group B consisted of surgical treatment. Results : Excellent to good results seen in Groups A and B were 89% and 92%, respectively. Six complications were seen in Group A, which included four cases with malunion and two cases with digital stiffness. Three complications were seen in Group B, which included one each of malunion, digital stiffness and extensor lag. Conclusion:. Percutaneous pinning is a reliable, most commonly used surgical modality and technically easier.</p>