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A 22-year-old gymnast with known ligamentous laxity has been treated in the hand therapy clinic for 6 months for left wrist pain and discomfort. Radiographs of her left wrist are seen in Figures A and B. Which of the following physical exam findings would be most diagnostic for midcarpal instability?
Radial wrist pain with sudden ulnar deviation
Tenderness to palpation distal to the ulnar styloid
Pain and a clunk on ulnar to radial deviation of the wrist while pressure is held on the scaphoid
Pain in the lunate with volar directed pressure on the dorsum of hand
Pain and a clunk with axial and palmarly directed forces as the wrist is moved from neutral to ulnar deviation
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