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Table 2 Categorization of TFCC lesions according to Palmer’s and Atzei’s classification. For Palmer’s classification, simultaneous peripheral and central lesions are possible, while Atzei’s classification is exclusive to ulnar-sided pathologies. Results are reported as frequencies (percentages)

From: The importance of radial multiplanar reconstructions for assessment of triangular fibrocartilage complex injury in CT arthrography of the wrist

Palmer

Lesions

Description

Atzei

Lesions

Description

1a

11 (10.4)

Central perforation

0

10 (9.4)

Isolated styloid fracture

1b

46 (43.4)

Ulnar avulsion

1

13 (12.3)

SL tear

1c

1 (0.9)

Ulnocarpal ligament injury

2

7 (6.6)

Complete peripheral tear

1d

2 (1.9)

Radial avulsion

3

11 (10.4)

DL tear

2a

24 (22.6)

TFC wear

3A

6 (5.7)

Avulsion fracture of DL insertion

2b

24 (22.6)

TFC wear + chondromalacia

4

3 (2.8)

Non-repairable peripheral tear

2c

7 (6.6)

TFC perforation + chondromalacia

5

6 (5.7)

Peripheral tear + DRUJ arthritis

2d

3 (2.8)

Palmer 2c + LTL tear

   

2e

2 (1.9)

Palmer 2d + ulnocarpal arthritis

   

No lesion

14 (13.2)

 

No lesion

50 (47.2)

 

Total lesions

120

 

Total lesions

56

 

Combined

28 (26.4)

Peripheral and central lesions

   
  1. TFCC Triangular fibrocartilage complex, TFC Triangular fibrocartilage (ulnocarpal disc), LTL Lunotriquetral ligament, SL Superficial layer of the peripheral TFCC, DL Deep layer of the TFCC, DRUJ Distal radioulnar joint