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Test library › Wrist & hand

Scaphoid shift (Watson) test

For: Scapholunate ligament instability

A tear or stretch of the scapholunate ligament, which joins two wrist bones (the scaphoid and the lunate), letting them move apart abnormally.

A weak test on its own
Sensitivity50%
Specificity78%
LR+ (positive)2.27
LR− (negative)0.64

What the numbers mean

  • Positive result: a small shift: a positive result nudges the diagnosis up, but does not settle it.
  • Negative result: barely informative: a negative result changes little.

Source

Schmauss D, Pöhlmann S, Weinzierl A, et al. Relevance of the scaphoid shift test for the investigation of scapholunate ligament injuries. J Clin Med. 2022;11(21):6322. Journal article (DOI) · single study

Figures as they will appear in Rule It In, Rule It Out (Trokos, forthcoming). If a newer or better study changes them, this page changes with the book. Figures last updated from the book on 2 October 2026.

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