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Madelung Deformity: A Current Concepts Review.

Eric R Taleghani1, Mason Price1, Iris Gutmark-Little2

  • 1Department of Orthopaedic Surgery, University of Cincinnati, Cincinnati, OH; Department of Pediatric Orthopaedic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.

The Journal of Hand Surgery
|February 13, 2026
PubMed
Summary
This summary is machine-generated.

Madelung deformity, a rare congenital wrist issue, involves growth disturbance causing pain and stiffness. Early intervention in immature patients and surgical correction in mature patients can improve outcomes.

Keywords:
Congenital upper limb differencesLeri–Weill dyschondrosteosisMadelung deformityVickers ligamentturner syndrome

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Area of Science:

  • Orthopedics
  • Genetics
  • Radiology

Background:

  • Madelung deformity is a rare congenital wrist malformation.
  • It stems from volar-ulnar distal radial physis growth disturbance.
  • Associated genetic conditions include Leri-Weill dyschondrosteosis, Turner syndrome, and GNAS gene mutations.

Purpose of the Study:

  • To review the diagnosis, treatment, and outcomes of Madelung deformity.
  • To highlight current management strategies for different patient populations.
  • To emphasize the need for standardized outcome reporting.

Main Methods:

  • Diagnosis relies on clinical assessment and radiographic criteria (volar-ulnar radial curvature, positive ulnar variance, carpal subluxation).
  • Advanced imaging aids in complex cases and surgical planning.
  • Treatment varies by skeletal maturity: radial physiolysis and Vickers ligament release for immature patients; corrective osteotomies for mature patients.

Main Results:

  • Surgical interventions aim to correct deformity, alleviate pain, and improve function.
  • 3D surgical planning and custom guides enhance reconstruction precision.
  • Studies report improvements in pain, function, and radiographic alignment post-treatment.

Conclusions:

  • Management requires tailored approaches based on skeletal maturity and deformity severity.
  • Limited long-term data necessitates standardized outcome reporting.
  • Collaborative research is crucial for advancing evidence-based care for Madelung deformity.