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. 2020 Mar 19;140(5):623–638. doi: 10.1007/s00402-020-03373-y

Table 2.

Arthroscopic EWAS (European Wrist Arthroscopy Society) Classification

Arthroscopic stage (EWAS) Arthroscopic testing of SLIOL from MC joint
I No passage of the probe in SL space but synovitis
II

Lesion of membranous SLIOL

Passage of the tip of the probe in the SL space without widening (stable)

III A

Partial lesion involving the volar SLIOL

Volar widening on dynamic testing from MC joint (anterior laxity)

III B

Partial lesion involving the dorsal SLIOL

Dorsal SL widening on dynamic testing (posterior laxity)

III C

Complete SLIOL tear, joint is reducible

Complete widening of SL space on dynamic testing, reducible with removal of probes

IV

Complete SLIOL with SL gap

SL gap with passage of the arthroscope from MC to RC joint

No radiographic abnormalities

V

Wide SL gap with passage of the arthroscope through SL joint

Frequent X-ray abnormalities such as an increased SL gap, DISI deformity

SLIOL scapholunate interosseous ligament, MC midcarpal, RC radiocarpal, RSC radio-scapho-capitate, LRL long radiolunate, DIC dorsal intercarpal ligament, SL scapholunate, TH triquetro-hamate, ST scaphotrapezial, DRC dorsal radiocarpal, DISI dorsal intercalated segmental instability