A syndrome of pain, stiffness and numbness associated with vascular changes that develops in the hands of those who use vibrating tools has been termed vibration-induced white finger disease. The authors describe such a case that occurred in a 22-year-old man. A change of job and a course of physiotherapy alleviated the symptoms and improved circulation. A review of the literature and the authors' findings suggest that this condition is a result of marked changes in the vascular supply to the hand from repetitive blunt trauma. Arteriographic evidence of deficient palmar arch vasculature is presented.