,Musculoskeletal:  Wrist, elbow, shoulder and neck exams reveal no focal findings except for some tenderness to palpation over the FCR tendon on the scaphoid tubercle, but there is no SL instability and no signs of lunotriquetral instability or midcarpal instability. 
,Musculoskeletal : Wrist , elbow , shoulder and neck exams reveal no focal findings except for some tenderness to palpation over the FCR tendon on the scaphoid tubercle , but there is no SL instability and no signs of lunotriquetral instability or midcarpal instability .