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Madelung deformity.

Andrew C Ghatan1, Douglas P Hanel

  • 1Department of Orthopaedics and Sports Medicine, Harborview Medical Center, University of Washington, Seattle, WA, USA.

The Journal of the American Academy of Orthopaedic Surgeons
|June 4, 2013
PubMed
Summary
This summary is machine-generated.

Madelung deformity is a rare wrist condition affecting both wrists, more common in females. While often managed non-surgically, severe cases may require intervention for pain or cosmetic concerns.

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Area of Science:

  • Orthopedics
  • Genetics
  • Pediatric Surgery

Background:

  • Madelung deformity is a rare congenital wrist anomaly.
  • It results from asymmetric growth at the distal radial physis.
  • Characterized by radial curvature, positive ulnar variance, and lunate subsidence.

Purpose of the Study:

  • To review the characteristics, natural history, and management of Madelung deformity.
  • To highlight the current lack of evidence supporting specific surgical techniques.

Main Methods:

  • Literature review of Madelung deformity.
  • Analysis of case reports and existing studies on management outcomes.

Main Results:

  • The condition affects females more than males and often both wrists.
  • Nonsurgical management is standard for asymptomatic cases.
  • Extensor tendon ruptures are reported in severe, chronic cases.

Conclusions:

  • Indications for surgery include stiffness, pain, and cosmetic concerns.
  • Various surgical techniques exist, but evidence supporting a single approach is limited.
  • Further research is needed to establish optimal surgical management strategies.