Crushing hand injuries are still a challenging field. Carpometacarpal (CMC) joints fracture-dislocations are reasonably infrequent conditions. Typically, mechanism of injury is high energy trauma Crush hand injuries are not uncommon in developing countries where the safety rules and guidelines appropriate to the specific job don’t practice well or safety equipment such as restraints, pullbacks, and two-hand devices aren’t easily accessible at the workplace. We present a 36-year-old worker with crush hand and total carpometacarpal dislocations. He was managed early in a multidisciplinary setting and after about one-year follow-up had an acceptable outcome. One key point in the management of such complex injuries is early and precise bony stabilization.