Long-term results of Sauvé-Kapandji procedure.
Distal radioulnar joint
Sauvé–Kapandji
complication
radioulnar convergence
sonography
ulnar stump instability
Journal
The Journal of hand surgery, European volume
ISSN: 2043-6289
Titre abrégé: J Hand Surg Eur Vol
Pays: England
ID NLM: 101315820
Informations de publication
Date de publication:
Jul 2021
Jul 2021
Historique:
pubmed:
13
4
2021
medline:
10
8
2021
entrez:
12
4
2021
Statut:
ppublish
Résumé
The Sauvé-Kapandji procedure is an established treatment option for distal radioulnar joint dysfunction. We retrospectively analysed 36 patients following Sauvé-Kapandji procedure between 1997 and 2013. Fifteen patients were available for a follow-up after a mean of 13 years (range 6 to 23). Six patients needed revision surgery because of ulnar stump instability. Radiographs and sonography were performed to quantify the instability of the proximal ulnar stump. These showed a radioulnar convergence of 8 mm without weight and 2 mm while lifting 1 kg. Sonographically, the proximal ulnar stump dislocated by 8 mm to the volar side while applying pressure to the palm, compared with 4 mm on the contralateral side. Sonographically measured ulnar stump instability showed a positive strong correlation with the Disabilities of the Arm, Shoulder and Hand questionnaire and Patient-Reported Wrist Evaluations and a negative strong correlation with grip strength and supination torque. Because of the high incidence of revision surgery due to instability of the proximal ulnar stump, we restrict the use of the Sauvé-Kapandji procedure only to very selected cases.
Identifiants
pubmed: 33844599
doi: 10.1177/17531934211004459
pmc: PMC8226425
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
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