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Journal of Hand Surgery (British and European Volume)
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*Joint Disorders
*Rheumatoid Arthritis
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Articles

The Simmen Classification of Wrist Destruction in Rheumatoid Arthritis

Experience in patients with early disease

P. ZANGGER
J. R. KACHURA
E. R. BOGOCH

From the Departments of Surgery and Radiology and Diagnostic Imaging, Saint Michael’s Hospital- Wellesley Central Site, University of Toronto, Toronto, Canada

Correspondence: P. Zangger MD, Hôpital Orthopédique de la Suisse Romande, 4 Av. Pierre Decker, 1005 Lausanne, Switzerland. E-mail: Philippe.Zangger{at}chuv.hospvd.ch

In this radiological study, bilateral radiographs of the wrist in 48 patients with early rheumatoid arthritis (RA) were graded by the Simmen classification, at different times, to determine its potential use in early disease. Interobserver agreement was good. The Simmen classification of wrist destruction in RA could be applied to the radiographs of approximately 50% of patients with early disease. It has some consistency over time.

Journal of Hand Surgery (British and European Volume), Vol. 24, No. 4, 400-404 (1999)
DOI: 10.1054/JHSB.1999.0196
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