A 30-year-old right hand (RH) dominant Hispanic male with no past medical history presented to the ED after injuring his finger during a recreational football game. The patient attempted to catch the ball but jammed and dislocated the fourth digit of his RH at the middle phalangeal joint (MPJ). The patient presented with the following vital signs: blood pressure (BP) 126/83 mmHg, heart rate (HR) 90 beats/min, respiratory rate (RR) 18 breaths/min, SpO2 100% on room air (RA), and temperature 36.3 C. The patient underwent a hand radiograph that demonstrated a fracture dislocation of the proximal phalanx. The patient received an ultrasound-guided ulnar nerve block using a total of 5 mL of 1% lidocaine without epinephrine for pain control. After five minutes, adequate anesthesia was obtained as noted by the patient, and the reduction and splinting were successfully performed. The ED physician noted the reduction was easy to perform; the patient noted only minimal pain while performing the nerve block and was pain-free during the reduction and splinting of the digit. The patient had complete return of sensation to his hand prior to discharge. Vital signs at the time of discharge were blood pressure (BP) 120/80 mmHg, heart rate (HR) 80 beats/min, respiratory rate (RR) 20 breaths/min, and SpO2 100% on room air (RA). The patient was discharged with a prescription for Vicodin for pain control.