 The patient had this area carefully and thoroughly injected with approximately 10 mL of lidocaine with epinephrine and once this was complete, a 15-blade knife was then used to incise the skin opposite the radial aspect of the fourth ray. 
The patient had this area carefully and thoroughly injected with approximately 10 mL of lidocaine with epinephrine and once this was complete , a 15 - blade knife was then used to incise the skin opposite the radial aspect of the fourth ray .