Symptoms and Radiographic Findings in the Proximal and Distal Ulnar Stumps After the Sauvé-Kapandji Procedure for Treatment of Chronic Derangement of the Distal Radioulnar Joint

Intra-articular distal ulnar fractures associated with distal radial fractures in older adults: early experience in fixation of the radius and leaving the ulna unfixed

“…This phenomenon seems similar to the radioulnar convergence after the Sauve´-Kapandji procedure, which can be induced by traction forces from the muscles of the first dorsal compartment and the interosseous membrane (Inagaki et al, 2006). The IADUF united while the proximal part of the ulna was being pulled by muscles in some of our cases, which resulted in an angulation deformity (apex radial).…”

Reconstruction of the Distal Ulna: Instability, Impaction, Impingement, and Arthrosis

“…Inagaki et al reported that 50% of patients had complaints related to proximal stump instability. 31 Despite reduction of pain in 113 of their 117 patients, convergence was demonstrated radiographically in 83 of the patients. 29 Few comparative data exist that would help clinicians select one reconstructive procedure over the other.…”

“…28 The SK procedure is an alternative treatment for a symptomatic, unreconstructable DRUJ. Clinical series report reduction of symptoms related to painful forearm rotation 29,31 ; however, joint kinematics remain distorted. Inagaki et al reported that 50% of patients had complaints related to proximal stump instability.…”

The Hemiresection-Interposition Arthroplasty of the Distal Radioulnar Joint

“…Ähnliches gilt für die Operation nach Kapandji, bei der ebenfalls das freie Ende der Ulna zu schmerzhaften Instabilitäten neigen kann, weil ein definierter Stabilisator fehlt [16,19,22,23,25]. Eine Indikation für die Ellenkopfresektion nach Darrach besteht daher heute in erster Linie bei Patienten mit niedrigem Anspruch an die Belastbarkeit und in Fällen, in denen die Schmerzreduktion im Vordergrund steht, wie in fortgeschrittenen Stadien der rheumatoiden Arthritis [5,6].…”