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. 2021 Jul 28;11(1):62–68. doi: 10.1055/s-0041-1732411

Table 1. Geissler classification.

Grade Description
I Attenuation/hemorrhage of SLIL as seen from the radiocarpal joint. No incongruency of carpal alignment in the midcarpal space.
II Attenuation/hemorrhage of SLIL as seen from the radiocarpal joint. Incongruency/step-off as seen from midcarpal space. A slight gap (less than width of a probe) between carpals may be present.
III Incongruency/step-off of carpal alignment is seen in both the radiocarpal and midcarpal spaces. The probe may be passed through the gap between carpals.
IV Incongruency/step-off of carpal alignment is seen in both the radiocarpal and midcarpal spaces. Gross instability with manipulation is noted. A 2.7-mm arthroscope may be passed through the gap between carpals.