Stabilization of the proximal ulnar stump after the Darrach or Sauvé-Kapandji procedure by using the extensor carpi ulnaris tendon.
The Darrach and Sauvé-Kapandji procedures are considered to be useful treatment options for distal radioulnar joint disorders. Postoperative instability of the proximal ulnar stump and radioulnar convergence, however, may cause further symptoms. From October 1999 to May 2002, a total of 19 wrists in 15 men and four women, with an average age of 48.3 years, were treated by stabilizing the proximal ulnar stump with a half-slip of the extensor carpi ulnaris tendon using modified Darrach and Sauvé-Kapandji procedures. The average follow-up period was 77 months (range, 62 to 91 months). No patient complained of symptoms due to instability of the proximal ulnar stump. Grip strength improved in all wrists after surgery. Postoperative X-rays, including loading X-rays, showed improved alignment in both coronal and lateral planes. We concluded that stabilization of the proximal ulnar stump with ECU tenodesis is an effective procedure for treating distal radioulnar joint disorder after the Darrach and Sauvé-Kapandji procedures.
Chu
Po-Jung
PJ
Department of Orthopaedic Surgery, Taoyuan Armed Forces General Hospital, 168, Jong-Shing Rd, Taoyuan, Taoyuan County, Taiwan.
Lee
Hung-Maan
HM
Hung
Sheng-Tsai
ST
Shih
Jui-Tien
JT
J Hand Surg Am. 1993 Jul;18(4):697-702
8349984
J Hand Surg Am. 1995 Jul;20(4):602-8
7594287
J Hand Surg Br. 1992 Apr;17(2):127-32
1588189
J Bone Joint Surg Br. 1985 Jan;67(1):126-9
3968131
J Hand Surg Am. 1988 Mar;13(2):193-200
3351241
J Hand Surg Am. 1986 Nov;11(6):812-7
3794235
J Bone Joint Surg Am. 1998 Dec;80(12):1758-69
9875933
Ann Chir Main. 1986;5(3):181-93
3813693
J Hand Surg Am. 1985 Mar;10(2):169-78
3980927
J Hand Surg Am. 1985 Nov;10(6 Pt 1):837-44
4078266
J Bone Joint Surg Br. 1974 Aug;56B(3):462-4
4419244
Hand Clin. 1998 May;14(2):265-77
9604158
J Hand Surg Am. 1989 Jul;14(4):612-7
2754191
J Hand Surg Am. 2000 Nov;25(6):1080-4
11119666