 A syringe with 3 cc of Kenalog-10 and 3 cc of 1% Xylocaine using a 25 gauge short needle was then selected; 1 cc of this mixture was injected into the third finger A1 and A2 pulley tendon sheaths using standard trigger finger injection technique; 1 cc was injected into the fourth finger A1/A2 pulley tendon sheath using standard tendon sheath injection technique; 1 cc was injected into the Dupuytren's nodule in the midpalm to relieve local discomfort. 
A syringe with 3 cc of Kenalog-10 and 3 cc of 1 % Xylocaine using a 25 gauge short needle was then selected ; 1 cc of this mixture was injected into the third finger A1 and A2 pulley tendon sheaths using standard trigger finger injection technique ; 1 cc was injected into the fourth finger A1 / A2 pulley tendon sheath using standard tendon sheath injection technique ; 1 cc was injected into the Dupuytren 's nodule in the midpalm to relieve local discomfort .