Modified Sauve-Kapandji Procedure for Management of Distal Radioulnar Joint Synostosis - A Case Report

Abstract

Case: An 18-year-old male patient came to us with restricted pronation and supination. He gave a history of fall 10 years back. The skin on the dorsal and solar aspect of the distal forearm had a secondarily healed contracture. On X-ray, distal radio-ulnar synostosis was seen. Ulnar bone excision was done in the diaphyseal region. Full pronation and supination were achieved after excision in the operation theatre. Conclusion: The use of ulnar excision is a simple and effective way to achieve an adequate functional outcome with low risk of recurrence of the synostosis.