694bb179_WRIST__2
[0] Murphy's Sign [1] Ask the patient to make a fist. [3] As the examiner, visually inspect the dorsal aspect of the hand. Normally the knuckle formed by the head of the third metacarpal is more prominent and protrudes further distally as compared to the knuckles of the second and fourth metacarpal heads. If the knuckle of the third metacarpal head is level with the knuckles of the second and fourth metacarpal heads, the sign is positive and indicative of a lunate dislocation. [2] 
Tests for dislocation of the lunate.
WRIST