20-year-old RH dominant male presented to the ER with a left hand deformity that occurred while playing football. He reported pain on palpation of the metacarpophalangeal (MCP) joint of the left thumb with decreased sensation of the left thumb. The patient's vital signs were as follows: BP 127/62 mmHg, HR 74 beats/min, RR 18 breaths/min, SpO2 100% on RA, and temperature 36.8 C; pain was reported as 10/10. The patient's hand radiograph showed dorsal dislocation of the left thumb at the MCP joint without evidence of fracture (Figure 1). The patient underwent an in-plane ultrasound-guided radial and median peripheral nerve block using a total of 12 mL of 1% lidocaine with epinephrine and after two minutes the reduction procedure was performed. The patient tolerated the procedure well; the left MCP joint was successfully reduced and his finger was splinted. The patient had complete return of sensation to his hand, was able to flex, extend, abduct, and oppose his thumb, and noted that his pain was 0/10 prior to discharge. Vital signs at the time of discharge were BP 118/49, HR 80 beats/min, RR 20 breaths/min, and SpO2 100% on RA. He was given prescription for ibuprofen and Vicodin at the time of discharge.