Madelung's Deformity of the Wrist—Current Concepts and Future Directions

Author:

Babu Satish1,Turner Joseph2,Seewoonarain Sheena3,Chougule Sanjay2

Affiliation:

1. Frimley Park Hospital, Portsmouth Road, Frimley, United Kingdom

2. East Surrey Hospital, Canada Avenue, Redhill, United Kingdom

3. St. Richard's Hospital, Spitalfield Lane, Chichester, United Kingdom

Abstract

AbstractMadelung's deformity of the wrist arises from premature closure of the medial and volar aspect of the distal radial physis. True Madelung deformities reveal the presence of a “Vickers” ligament which is a short, volar, radioulnar ligament. Clinically, patients report increasing deformity, pain, and poor range of motion. Radiological features include increased radial inclination, volar tilt of the distal radius, and a positive ulnar variance. Surgical intervention usually comprises either a “Vickers” ligament release and distal radius physiolysis or a radial dome osteotomy. In future, EOS Imaging could aid diagnosis by providing more detailed images of the deformity while minimizing radiation exposure. Furthermore, three-dimensional printing and computer-navigated deformity correction could revolutionize management by facilitating simulation training, expediting surgery, and reducing intraoperative error.

Publisher

Georg Thieme Verlag KG

Subject

Orthopedics and Sports Medicine,Surgery

Cited by 13 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Radioscapholunate Arthrodesis for Management of Madelung Deformity;JBJS Case Connector;2024-07

2. Madelung deformity in a child with Léri-Weill dyschondrosteosis;Revista Colombiana de Reumatología (English Edition);2023-10

3. Benign paroxysmal positional vertigo in a patient with persistent hypoglossal artery and bilateral madelung deformity;IBRO Neuroscience Reports;2023-06

4. Madelung’s Deformity in Children;The Pediatric Upper Extremity;2023

5. Pediatric Ulnar-sided Wrist Pain: A Review of the Current Literature;Journal of the American Academy of Orthopaedic Surgeons;2022-08-01

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