elaxed position. If a patient reports wrist or hand pain, especially from RSI, this part of the examination is crucial. Visualize the longitudinal axis of the hand and wrist by sighting a straight line along the third metacarpal, the lunate, and Lister's tubercle on the posterior aspect of the distal radius. Angulation of the axial line to the thumb side suggests radial deviation deformity, and angulation to the little finger side suggests ulnar deviation deformity of the wrist.