Ring finger ray amputation. A and B, Palmar and dorsal view of patient’s hand after ring finger avulsion injury. C, En bloc disarticulation of ring finger carpometacarpal joint with proximal division of flexor and extensor tendons. D, Intermetacarpal ligaments of small and middle fingers are sutured in overlapped position to prevent splaying of small finger. E, Radiograph of hand indicating radialization of the small finger metacarpal base on hamate facet. F and G, Clinical appearance after ring finger ray resection.