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Scaphoid Shift TestAka: Watson Test

Indication
1. Wrist Injury
2. Suspected Scaphoid tubercle Fracture
3. Suspected scapholunate instability
Maneuver
1. Images
2. Locate Scaphoid tubercle
  1. Extensor carpi radialis at palmar crease
3. Examiner holds pressure on tubercle
  1. Thumb on Scaphoid tubercle (volar)
  2. Index finger on dorsum behind Scaphoid
4. Press while moving wrist from ulnar to radial deviation
Interpretation
1. Pain at rest suggests Scaphoid tubercle Fracture
2. Pain or clunk suggests scapholunate instability
References
1. Lewis (2001) Clin Sports Med 20:131

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This page was written by Scott Moses, MD. This page was last revised before 5/10/08, prior to consistent tracking of revision date. This page was last published on 2/26/2010. Please send comments and questions to the editor. Contact information may be found on the page About the Family Practice Notebook. These pages are best viewed with Microsoft Internet Explorer 6.0.

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Scaphoid Shift TestAka: Watson Test

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