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. 2022 Sep 29;15(6):590–596. doi: 10.1007/s12178-022-09790-3

Table 2.

Provocative maneuvers. These are many of the provocative maneuvers used in assessment of ulnar-sided wrist pain. The tests are each listed along with what signifies a positive test, and what pathology is indicated with a positive test

Test Positive Pathology represented
Ulnocarpal stress test Pain Ulnocarpal impaction, central TFCC tear
Press test Pain Ulnar-sided wrist pain, possible TFCC
Hook of hamate pull test Pain Hook of hamate fracture
Pisiform tracking test/PT grind test Pain PT pathology
LT ballottement test Pain or laxity LT tear
Regan shuck test Pain or laxity LT tear
Kleinman shear test Pain LT tear
DRUJ compression test Pain DRUJ arthritis
Piano key/DRUJ ballottement test Pain or laxity DRUJ instability
Synergy test

Sharp pain

Subluxation or dislocation of tendon

ECU tendonitis

ECU tendon instability

Ulnar fovea sign Tenderness TFCC pathology
Midcarpal shift test Painful clunk Midcarpal instability