Fig. 2. Wide-awake local anesthesia for a case with a complete zone 2 flexor tendon cut in the middle finger. (A) The first injection (10-15 mL) was performed in the most proximal part of the likely dissection to block the nerves distally. (B) Fifteen minutes after the first injection, the second injection (2 mL) was performed subcutaneously at the palmar digital crease between both digital nerves. (C) The third injection (2 mL) was performed immediately after the second injection under the skin at the digital crease of the proximal interphalangeal joint between both digital nerves. (D) The final injection (1 mL) was performed immediately after the third injection under the skin at the digital crease of the distal interphalangeal joint between both digital nerves.