We investigate sharp conditions for boundary and interior gradient estimates of continuous viscosity solutions to fully nonlinear,uniformly elliptic equations under Dirichlet boundary conditions. When these conditions are violated,there can be blow up of the gradient in the interior or on the boundary of the domain.In particular we derive sharp results on local and global Lipschitz continuity of continuous viscosity solutions under more general growth conditions than before.Lipschitz regularity near the boundary allows us to predict when the Dirichlet condition is satisfied in a classical and not just in a viscosity sense,where detachment can occur.Another consequence is this:if interior gradient blow up occurs,Perron-type solutions can in general become discontinuous,so that the Dirichlet problem can become unsolvable in the class of continuous viscosity solutions.