Madelung’s deformity

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

The exact etiology of Madelung’s deformity Madelung deformity is not known. In addition, the clinical and radiographic presentation can vary greatly between not only patients but also between forearms in the same patient. In severe cases, the premature closure of the volar-ulnar physis of the distal radius leads to the characteristic appearance of volar subluxation of the hand/carpus as well as a dorsally prominent ulna. In some cases, a genetic component is present in the form of Leri-Weill syndrome in which there is an abnormality in the short stature homeobox gene (SHOX) (Benito-Sanz et al. Am J Hum Genet 77:533–44, 2005). Symptoms can include pain, decreased wrist/forearm ROM, as well as cosmetic dissatisfaction with appearance. It is important to assess and counsel every patient individually as not everyone will need surgical intervention. If the patient has no symptoms and the deformity is minimal, then careful observation with serial examinations and radiographs is warranted. If the deformity is more severe and symptoms are present, then operative intervention may be warranted. Depending on the age of the patient and deformity present, several types of operative treatment are available. The results following surgery for Madelung’s deformity have consistently been shown to be of benefit and should be considered for symptomatic patients with substantial deformity.

Original languageEnglish (US)
Title of host publicationThe Pediatric Upper Extremity
PublisherSpringer New York
Pages1763-1772
Number of pages10
ISBN (Print)9781461485155, 9781461485131
DOIs
StatePublished - Jan 1 2015

Fingerprint

Forearm
Viverridae
Ulna
Homeobox Genes
Wrist
Cosmetics
Madelung Deformity
Hand
Observation
Pain
Therapeutics

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Oishi, S. N., Wheeler, L., & Ezaki, M. (2015). Madelung’s deformity. In The Pediatric Upper Extremity (pp. 1763-1772). Springer New York. https://doi.org/10.1007/978-1-4614-8515-5_82

Madelung’s deformity. / Oishi, Scott N.; Wheeler, Lesley; Ezaki, Marybeth.

The Pediatric Upper Extremity. Springer New York, 2015. p. 1763-1772.

Research output: Chapter in Book/Report/Conference proceedingChapter

Oishi, SN, Wheeler, L & Ezaki, M 2015, Madelung’s deformity. in The Pediatric Upper Extremity. Springer New York, pp. 1763-1772. https://doi.org/10.1007/978-1-4614-8515-5_82
Oishi SN, Wheeler L, Ezaki M. Madelung’s deformity. In The Pediatric Upper Extremity. Springer New York. 2015. p. 1763-1772 https://doi.org/10.1007/978-1-4614-8515-5_82
Oishi, Scott N. ; Wheeler, Lesley ; Ezaki, Marybeth. / Madelung’s deformity. The Pediatric Upper Extremity. Springer New York, 2015. pp. 1763-1772
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