Sauvé-Kapandji and reverse Sauvé-Kapandji procedures for treating chronic longitudinal radioulnar dissociation with capitellum fracture

Acta Orthop Traumatol Turc. 2014;48(5):593-7. doi: 10.3944/AOTT.2014.3121.


Almost all reported cases of longitudinal radioulnar dissociation have involved fracture of the radial head, rupture of the interosseous membrane, and disruption of the distal radioulnar joint, although unusual patterns of Essex-Lopresti injury have also been described. To our knowledge, this is the first report of a chronic Essex-Lopresti variant including fracture of the capitellum. A displaced capitellum fracture must alert to the possibility of longitudinal radioulnar dissociation, even without concomitant radial head fracture or symptoms at the forearm and ulnar wrist. Successful mid-term results can be achieved by treating malunion of humeral condyle and proximal migration of the radius with simultaneous Sauvé-Kapandji procedure at the wrist and reverse Sauvé-Kapandji at the elbow.

Publication types

  • Case Reports

MeSH terms

  • Accidental Falls
  • Adult
  • Capitate Bone / diagnostic imaging
  • Capitate Bone / injuries*
  • Chronic Disease
  • Elbow Injuries*
  • Elbow Joint / diagnostic imaging
  • Elbow Joint / surgery
  • Follow-Up Studies
  • Fracture Fixation, Internal / adverse effects
  • Fracture Fixation, Internal / methods*
  • Fracture Fixation, Internal / rehabilitation
  • Fracture Healing / physiology
  • Fractures, Ununited / diagnosis
  • Fractures, Ununited / surgery*
  • Humans
  • Injury Severity Score
  • Magnetic Resonance Imaging / methods
  • Male
  • Multiple Trauma / diagnostic imaging
  • Multiple Trauma / surgery*
  • Orthopedic Procedures / methods
  • Postoperative Complications / diagnostic imaging
  • Postoperative Complications / surgery
  • Radius Fractures / diagnostic imaging
  • Radius Fractures / surgery*
  • Recovery of Function
  • Reoperation / methods
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Ulna Fractures / diagnostic imaging
  • Ulna Fractures / surgery*
  • Wrist Injuries / diagnostic imaging
  • Wrist Injuries / surgery