Physical Examination

No wrist swelling or obvious deformity was noted. There was point tenderness dor-sally over the triquetrum. Range of motion was diminished in all planes. A painful clunk was palpable with radial-ulnar deviation. Compression of the triquetrum with a radially directed force elicited pain. Excessive laxity was present with lunotriquetral (LT) ballottement when compared with the contralateral wrist. Grip strength was reduced 20% compared with the contralateral, nondominant side. He was neurovascularly intact.

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