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Madelung deformity: clinical features, therapy and results
B Schmidt-Rohlfing1, B Schwöbel, R Pauschert
1Department of Orthopedic Surgery, University Hospital, Pauwelsstrasse 30, D-52074 Aachen, Germany.
Journal of Pediatric Orthopedics. Part B
|December 1, 2001
Summary
Madelung deformity, a condition causing wrist pain and limited motion, rarely requires surgery. Most patients with this deformity find relief through non-operative management, with surgery offering limited functional improvement.
Area of Science:
- Orthopedics
- Genetics
- Radiology
Background:
- Madelung deformity is a developmental condition affecting the wrist.
- It presents with characteristic pain, restricted motion, and aesthetic concerns.
- Genetic factors may play a role, but Leri-Weill syndrome was not confirmed in this cohort.
Purpose of the Study:
- To review the clinical presentation, treatment, and outcomes of Madelung deformity.
- To evaluate the efficacy of surgical intervention versus conservative management.
Main Methods:
- Retrospective review of 31 patients diagnosed with Madelung deformity.
- Analysis of patient demographics, symptoms, family history, and radiographic findings.
- Assessment of outcomes for the five patients who underwent surgery.
Main Results:
- The average age at presentation was 22.5 years, with a female predominance (77%).
- Common complaints included pain, limited range of motion, and appearance.
- Surgical intervention in five patients resulted in pain relief for four, but only limited functional improvement.
- The majority of patients did not require surgical treatment.
Conclusions:
- Madelung deformity management should prioritize non-operative strategies.
- Surgical intervention for Madelung deformity offers limited functional benefits and is typically reserved for persistent pain.
- Further research into the genetic basis and optimal treatment pathways is warranted.