| Finkelstein’s test | Provide ulnar deviation to the wrist while grasping the thumb. | Pain over radial styloid from this provocative stretch maneuver differentiates de Quervain’s tenosynovitis from arthritis of the first metacarpal. |
| Grind tests | Compress and rotate the first metacarpal bone along the trapezium. | Pain and crepitus from this provocative compression maneuver suggests arthritis or instability. |
| Compress and rotate the distal radioulnar joint. |
| Lunotriquetral shear test | Apply dorsal force to triquetrum and palmar force over lunate. | A painful “click” reveals a lunotriquetral ligament tear. |
| McMurray’s test | Manipulate the triquetrum against the head of the ulna with the wrist in ulnar deviation. | Pain, crepitus, or a snap identifies TFCC lesions. |
| Supination lift test | Ask the patient to lift examination table with palm flat on underside of table or to lift himself off of the table. | Pain and weakness indicate a TFCC injury. |
| Watson’s test (scaphoid shift test) | Press the scaphoid tuberosity on the palmar aspect while moving the wrist from ulnar to radial deviation. | A painful “click” or “pop” identifies scaphoid instability or scapholunate separation. |