| 1 |
Isolated DRCL tear |
Arthroscopic DRCL repair |
| 2 |
DRCL with associated SLIL or LTIL (Geissler I/II) or TFCC tear or midcarpal instability |
Arthroscopic DRCL repair, SLIL or LTIL debridement ± shrinkage, TFCC repair/debridement ± wafer |
| 3A |
DRCL tear with associated SLIL and/or LTIL (Geissler III) and/or TFCC tear |
Arthroscopic DRCL repair, SLIL/LTIL shrinkage ± pinning, TFCC repair/debridement ± wafer |
| 3B |
DRCL tear with SLIL and/or LTIL (Geissler IV) and/or TFCC tear |
Open SLIL repair/reconstruction ± capsulodesis, LTIL repair/reconstruction, TFC repair/debridement ± wafer |
| 4 |
DRCL with chondromalacia or widespread degenerative changes |
Partial carpal fusion versus PRC |
