Provocativemaneuverstoelicitcarpalinstability are helpful in determining the presence of structural disruption of the stabilizing ligaments of the carpus. The scaphoid shift test as described by Watson is used to assess for the presence of scapholunate instability due to SLIL disruption. The test is performed by placing the examiner’s thumb on the distal pole of the scaphoid on the volar aspect of the palm with the wrist ulnarly deviated. Pressure is placed on the distal pole as the patient’s wrist is radially deviated. In cases of SLIL disruption or instability, thescaphoidsubluxatesdorsallyout of the scaphoid fossa of the distal radius. When pressureisreleased from thescaphoid, aclunk canbefeltand heard as the scaphoid returns to the fossa(16). Provocativemaneuvers forLTILinstability includethe lunotriquetralballottment test, the shuck test, and the sheartest. The lunotriquetral ballottment test is performed by stabilizing the lunate with the thumb and index fingers of one hand, while the other hand attempts to displace the pisotriquetral unit volarly.In the shuck test, the lunate is stabilized with the same technique used in the ballottement test. The wrist is then taken through both active andpassive radial and ulnardeviation.The provocative maneuver is positive if it generates pain or clicking at the lunotriquetral joint. The shear test is used to detect the presence of lunotriquetral strain, and is performed by applying ashear force at this joint while stabilizing lunate dorsally and pisotriquetral plane volarly,generating pain in the lunotriquetral interval. To test for midcarpal instability, the forearmisstabilized in apronated position. With the wrist in ulnar deviation, the examiner’s thumb exerts volar pressure at the level of the distal capitate. The wrist is then simul­taneously axially loadedatthe metacarpals andradially deviated. The result is positive if apainful clunk occurs that reproduces the patient’s symptoms (16).