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hi everyone this is Paul from ortho eval pal today I want to talk to you about the phobia sign if you're suspicious that somebody might have a tfcc type injury or a distal radioulnar joint instability what you do is you locate the distal on their styloid process and between that and the flexor carpi ulnaris you put your thumb right in the space and they'll have discomfort deep in there when you palpate and that can be a positive phobia sign an indication that there could be some tfcc injury in that area if you liked the video today please make sure you give us a thumbs up and don't forget to subscribe to our Channel Thanks