










Abductor
Pollicis
Longus
Extensor
Pollicis
Extensor
Carpi
Radialis
Longus
Extensor
Carpi
Radialis
Brevis
Extensor
Digitorum
Extensor
Digiti
Minimi
Extensor
Carpi
Ulnaris









Palmer classification for triangular fibrocartilage complex abnormalities
Class 1: Traumatic
• A - central perforation
• B - ulnar avulsion with or without distal ulnar fracture
• C - distal avulsion
• D - radial avulsion with or without sigmoid notch fracture
Class 2: Degenerative (ulnocarpal abutment syndrome) stage
• A - TFCC wear
• B - TFCC wear with lunate and/or ulnar chondromalacia
• C - TFCC perforation with lunate and/or ulnar chondromalacia
• D - TFCC perforation with lunate and/or ulnar chondromalacia and LT ligament perforation
• E - TFCC perforation with lunate and/or ulnar chondromalacia, LT ligament perforation, and ulnocarpal arthritis
