Madelung Deformity

Excerpt

Madelung deformity is a distal radius condition producing a deficiency in the volar ulnar corner that frequently causes wrist pain and cosmetic deformity (see Image. Left Madelung Deformity). The proposed mechanism of the classic congenital form of this deformity involves the anomalous development of the Vickers ligament, restricting distal radial growth in the volar ulnar area.

Various options are available for treating this condition, which is determined based on the severity, symptoms, and the patient's skeletal maturity at the time of diagnosis. Surgical procedures for correcting Madelung deformity can be divided into radial lengthening, ulnar shortening, or a combination of both. Wrist pain is the primary indication for surgical intervention in most patients with this condition.