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. |