Fig. 3. Thirty minutes after the local anesthesia injection, the epinephrine takes effect. The skin of the operative field has turned pale. The wound was exposed through a Bruner incision, and the distal half of the A2 pulley was incised through the volar midline. The proximal end of ruptured tendon was found in a small incision in the distal palm and advanced under the preserved A1 and the proximal part of the A2 pulleys. This flexor digitorum profundus tendon shown was repaired with a 6-strand M-Tang technique.