Vol.22 No.2

Case Report

Distal radius fracture after Sauvé-Kapandji procedure in a rheumatoid arthritis patient

Authors

Kensuke Ochi1 , Yukio Horiuchi1 , Takashi Matsumura2 , Mitsukazu Nakamura3 , Terue Takei3 , Hiroki Yabe4

  • Department of Orthopaedic Surgery, Kawasaki Municipal Kawasaki Hospital, 12-1 Shinkawa-dori, Kawasaki-ku, Kawasaki, Kanagawa, 210-0013, Japan
  • Matsumura Geka Seikeigeka Orthopaedic Clinic, Utsunomiya, Japan
  • Department of Orthopaedic Surgery, Saiseikai Utsunomiya Hospital, Utsunomiya, Japan
  • Department of Rheumatology, Saitama Medical Center, Jichi Medical University, Saitama, Japan
Received:

21 April 2011

Accepted:

8 June 2011

Published online:

29 June 2011

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Abstract

We report a case of distal radius fracture after a Sauvé-Kapandji procedure combined with synovectomy and tendon transfer in a rheumatoid arthritis patient. This case shared several unusual features that were also seen in a previously reported case. Based on these features, we discuss favorable surgical treatment for the rheumatoid wrist with extensor tendon rupture, and also the optimal treatment for distal radius fracture after such procedures.

Key words

Distal radius fracture - Sauvé-Kapandji procedure - Tendon rupture - Rheumatoid wrist - Tendon transfer