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Updated: May 24, 2026
06:40
Screening of Axonal Degeneration in Carpal Tunnel Syndrome Using Ultrasonography and Nerve Conduction Studies
Published on: January 11, 2019
The carpal stretch test at the rheumatoid wrist
Hiroyuki Shimizu1, Moroe Beppu, Kazuhiko Matsusita
1Department of Orthopaedic Surgery, St Marianna University School of Medicine, Kawasaki, Kanagawa, Japan. h3simizu@marianna-u.ac.jp
Summary
The Sauvé-Kapandji procedure improved pain and wrist rotation in rheumatoid arthritis patients. While it didn't fully prevent carpal collapse, it protected against ulnar shift, with midcarpal laxity being a key risk factor.
Area of Science:
- Orthopedic Surgery
- Rheumatology
- Radiology
Background:
- Rheumatoid arthritis commonly affects the wrist, leading to pain and instability.
- The Sauvé-Kapandji procedure is utilized for treating wrist instability in rheumatoid arthritis.
- Evaluating radiographic changes post-procedure is crucial for understanding its efficacy.
Observation:
- This study analyzed 43 rheumatoid wrists in 37 patients undergoing the Sauvé-Kapandji procedure.
- Patients exhibited preoperative vertical laxity in the radiocarpal and midcarpal joints.
- Clinical outcomes included pain reduction and improved forearm rotation.
Findings:
- The Sauvé-Kapandji procedure significantly reduced carpal collapse ratio and improved wrist rotation.
- Midcarpal joint vertical laxity was identified as a risk factor for postoperative carpal collapse.
- The procedure demonstrated a protective effect against ulnar carpal shift.
Implications:
- The Sauvé-Kapandji procedure offers benefits for pain and rotation in rheumatoid wrists.
- Preoperative assessment of midcarpal joint laxity is important for predicting outcomes.
- Further research may explore modifications to enhance carpal collapse prevention.
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