Divergent carpometacarpal fracture dislocation is a rare injury. We report a case affecting the medial four fingers of the left hand. The injury was sustained in a road traffic accident. The case was diagnosed with anteroposterior and lateral views on X-rays. He underwent open reduction supplemented with Kirschner wire fixation. This restored the normal carpometacarpal joint, anatomical relations and achieved an excellent clinical result in terms of function.