Post-traumatic proximal radioulnar synostosis treated with (modified) reverse Sauvé–Kapandji procedure: a case report

Posttraumatic synostosis of the proximal radioulnar joint (PRUJ) is a rare complication that can occur after fractures of the elbow and forearm.4,16 Due to ossification of the radius and ulna, patients may experience difficulty or complete loss of forearm rotation. This can have major functional impact on daily activities and, consequently, on the quality of life. Management of this PRUJ synostosis remains controversial, as there is no therapeutic consensus yet.6 In vital and active patients, surgical excision of the synostosis is the prevalent choice of treatment.