Continued pressure downward will force him to the ground. Standing behind uke, extend his arm directly behind him, palm up. Grasp his hand as in kote-gaeshi. Rotate and press his palm into his forearm, forcing him to bend forward. Pressure is applied against the outside of the elbow by pressing with the upper arm.
Pressure is applied against the outside of the elbow by pressing with the inner edge of the forearm.
These two will be used alternatively depending upon which way the opponent's elbow faces. Opponent's downward-pointing elbow is levered across one's own shoulder, between both arms pulling down and the weight of his body. The wrist is grasped, and the leg is swung over the captured arm, which is then yanked sharply upward. Can be applied against elbow or shoulder. Requires great flexibility.