This study evaluated the clicking of the proximal ulnar stump after the Sauvé-Kapandji (SK) procedure in patients with rheumatoid arthritis from 1988 to 2008. 51 patients (9 male, 42 female) underwent 60 SK procedures and the clicking of the ulnar stump was examined with a minimum follow-up period of1year after the SK procedure. The age at the time of operation ranged from 21.8 to 75.5 (average;54.5) years old. The follow-up period was from 1 year 1 month to 20 years 6 months (average: 7 years 6 months) after the SK. Twenty-one cases with extensor tendonrupture received an additional tendon transfer or tendon graft. External fixation was used for 1week for the cases without tendon repair and 3 weeks for the cases done tendon repair. Existence of clicking about the ulnar stump with or without pain was diagnosed at the time of follow-up. The ulnar distance (UD), indicating the distance between the distal radial joint and the proximal ulnar stump was measured using X-ray film. Tapering of the proximal ulnar stump was defined when the diameter of the proximal ulnar stump was less than half of the diameter of the ulna. UD, tapering and the scallop sign of the radius were classified by clicking and pain and evaluated statistically. Forty percent of the cases complained of clicking and 8.3% of the cases complained of painful clicking. The average UD was 24.7±6.6 mm of cases with clicking, 24.3 mm±6.4 mm without clicking, 24.5±6.6 mm with painless clicking and 23.7±6.4 mm with painful clicking. Both tapering and the scallop sign appeared in 35% of the cases, 15% of the cases with painless clicking, and 1.7% of those with painful clicking. In addition, no significant differences were observed in the clicking, UD, tapering or the scallop sign. Pain of the proximal ulnar stump was no more frequent than the other cases.